Active NPI
Procare Nacogdoches LLC
- Emergency Care Clinic/Center
- Nacogdoches, TX
National Provider Identifier
1073297875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Care Clinic/Center
- Legal business name
- PROCARE NACOGDOCHES LLC
- Doing business as
- Excel ER Nacogdoches
- Practice address
- 1420 North St
Nacogdoches, TX 75961-4037 - Phone
- (936) 569-0911
- Fax
- (936) 569-9131
- NPI assigned
- Jun 12, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rick Harrison
- Title
- Manager
- Phone
- (469) 436-8100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Care Clinic/Center | 261QE0002X | Primary |
Addresses
Primary practice location
1420 North St
Nacogdoches, TX 75961-4037
Mailing address
2703 Telecom Pkwy Ste 140a
Richardson, TX 75082-3507
Phone (469) 436-8100
Other names 1
- Excel ER Nacogdoches
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Hospital certification: CCN 670197
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- EXCEL ER NACOGDOCHES
- Certification status
- Terminated Voluntary: merger or closure, May 11, 2023
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Apr 28, 2020
- Last certification
- Apr 28, 2020
- Beds
- 1
- Ownership / control type
- Private (not for profit)
- Facility address
- 1420 North St
Nacogdoches, TX 75961
National Provider Directory
National Provider DirectoryLocations
1420 North St
Nacogdoches, TX 75961
Phone (436) 366-2911
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686528000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1770249600000",
"number": "1073297875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2703 TELECOM PKWY STE 140A",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750823507",
"telephone_number": "469-436-8100",
"fax_number": "469-436-8111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1420 NORTH ST",
"city": "NACOGDOCHES",
"state": "TX",
"postal_code": "759614037",
"telephone_number": "936-569-0911",
"fax_number": "936-569-9131"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROCARE NACOGDOCHES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-06-12",
"last_updated": "2026-02-05",
"certification_date": "2026-02-05",
"status": "A",
"authorized_official_last_name": "HARRISON",
"authorized_official_first_name": "RICK",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "469-436-8100"
},
"taxonomies": [
{
"code": "261QE0002X",
"taxonomy_group": "",
"desc": "Clinic/Center, Emergency Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Excel ER Nacogdoches",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Nacogdoches, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.