Organization Active NPI

Procare Odessa LLC

  • Emergency Care Clinic/Center
  • Odessa, TX
National Provider Identifier
1417633736
Registry record updated Feb 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Care Clinic/CenterTaxonomy code 261QE0002X
Legal business name
PROCARE ODESSA LLC
Practice address
6131 TX-191 Frontage
Odessa, TX 79762
Phone
(432) 366-2911
Fax
(432) 366-5416
NPI assigned
Jun 22, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2026

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)CodeLicenseStatePrimary
Emergency Care Clinic/Center 261QE0002X Primary

Addresses

Primary practice location

6131 TX-191 Frontage
Odessa, TX 79762

Mailing address

2703 Telecom Pkwy Ste 140a
Richardson, TX 75082-3507
Phone (469) 436-8100

Other names 1

  • Excel ER Odessa Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2106794Procare Odessa, LLC Dba Excel ER Odessa6131 TX-191 Frontage Road, Odessa, TX 79762AccreditationDec 20, 2026

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1687392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770249600000",
    "number": "1417633736",
    "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": "6131 TX-191 FRONTAGE",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "79762",
            "telephone_number": "432-366-2911",
            "fax_number": "432-366-5416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROCARE ODESSA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-22",
        "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 Odessa",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Excel ER Odessa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Odessa, 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 Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.