Active NPI
Procare Odessa LLC
- Emergency Care Clinic/Center
- Odessa, TX
National Provider Identifier
1417633736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Care Clinic/Center
- 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
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
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
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2106794 | Procare Odessa, LLC Dba Excel ER Odessa | Accreditation | Dec 20, 2026 |
National Provider Directory
National Provider DirectoryNPI 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.