Groundwork

Health care · Small-town market · Texas

Medical and dental practices in the Nacogdoches, TX area

The medical and dental practices in the Nacogdoches, TX area, the household spending behind them and how the market ranks against other small-town markets.

Groundwork market score · out of 100

Score 22 out of 100: Low

Ranked #503 of 538 scored small-town markets
#41 of 41 scored small-town markets based in Texas

Listings
205
23 chain locations (11%)
Official establishments
110
−16.0% since 2019
Household spending a year
$24.5M
On medical and dental services · $967 a household
Spending per listing
$119K
22% below the U.S.
Listings per 10k households
81.0
4% below the U.S.
Population, 2025
66,035
+2.2% since 2020

See the medical and dental practices around any address in the Nacogdoches area

The site report maps the medical and dental practices on map listings near the address, by name and distance, and sizes the households and spending around it. Or open the report at the center of the Nacogdoches area. Signed out, you see a blurred preview; on an account, each report is one action.

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Survey estimates 2020–2024 · population estimates 2025 · official business counts 2023 · map listings September 2026 · Data credits · How we measure

What this means

The Nacogdoches area scores 22 (low) on the Groundwork market score for medical and dental practices, ranking #503 of 538 scored small-town markets and #41 of 41 scored small-town markets based in Texas. That puts it in the bottom quarter of small-town markets.

Map listings as of September 2026 show 205 medical and dental practices in the Nacogdoches area. Chain locations make up 11% of them, against 11% across the U.S. That is 81.0 per 10,000 households, 4% below the U.S. rate of 84.5.

At $967 per household (25% below the U.S. average), households in the Nacogdoches area spend about $24.5M a year on medical and dental services. That works out to $119K per practice, 22% below the U.S. figure of $152K.

In 2023, official counts showed 110 businesses with payroll in the Nacogdoches area classed as offices of physicians, dentists, chiropractors, optometrists and therapists, and urgent care centers, down 16.0% from 2019. That is one for every 230 households, against one for every 270 across the U.S. Population estimates show the Nacogdoches area grew 2.2% from 2020 to 2025, slower than the U.S. (+3.1%).

How the Nacogdoches area compares

The same measures for Texas and the whole U.S. Spending per listing divides a year of household spending on all medical and dental services by the medical and dental practices counted, so it measures the demand for each competitor, not any business’s revenue. Households per establishment does the same with the official count.

Doctors, dentists and clinics in Nacogdoches, TX area compared with Texas and the U.S.
MeasureNacogdoches areaTexasU.S.
Listings per 10k households81.082.684.5
Spending per listing$119K$141K$152K
Households per official establishment230252270
Official establishment growth, 2019–2023−16.0%+4.2%+1.5%
Population growth, 2020–2025+2.2%+8.5%+3.1%
Spending per household on medical and dental services$967$1,164$1,288
Median household income$53,555$78,476$80,734
Groundwork market score2238

Official counts and lending

Businesses

Official establishments, 2019 to 2023
110−16.0% over the period
Employees, 2023
1,067
Annual payroll, 2023
$67.8M
One-person businesses, 2023
50Businesses with no payroll
Map listings, September 2026
20523 chain locations
Listings at the U.S. rate for this spending
160The U.S. ratio of listings to household spending, applied here

SBA-backed loans since fiscal 2022

Loans
0
Amount
$0

SBA-backed loans to businesses classed as offices of physicians, dentists, chiropractors, optometrists and therapists, and urgent care centers in the Nacogdoches area, through June 2026, placed by the borrower’s ZIP code. Official establishments are businesses with payroll; the official counts leave out places with fewer than 3.

Population and households in the Nacogdoches area

Population, 2025 estimate
66,035+2.2% since 2020
Households
25,302
Median age
35.3
Homes lived in by their owners
59%
Vehicles per household
1.9
Land area
946 sq. mi.
People per square mile
69
Median household income
$53,555+19.4% vs. 2015–2019, before inflation
Average household income
$77,396
Median home value
$169,200
Jobs located here
22,006
Daytime population
62,663Residents who don’t work, plus everyone whose job is here

Looking at a specific site in the Nacogdoches area?

These figures cover the whole small-town market. A site report draws rings around one address and counts what’s inside them: households, spending, jobs, and the medical and dental practices on map listings by name and distance.

Or open the report at the center of the Nacogdoches area. Signed out, you see a blurred preview; on an account, each report is one action.

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Doctors, dentists and clinics across Texas

Every Texas market ranked →

The highest-scoring small-town markets in Texas for medical and dental practices, numbered among those based in Texas, with the Nacogdoches area marked.

Top small-town markets in Texas

Small-town markets in Texas ranked for medical and dental practices by Groundwork market score
MarketScoreListingsPer 10k householdsSpending per listingPopulation growthU.S. rank
1Bonham, TX854232.9$333K+9.2%#11 of 538
2Andrews, TX802232.1$348K+1.6%#24 of 538
3Hereford, TX741423.1$433K+0.5%#53 of 538
4Jacksonville, TX728144.5$228K+5.4%#74 of 538
5Port Lavaca, TX713135.8$318K−2.3%#78 of 538
6Athens, TX7017351.5$202K+7.5%#90 of 538
7Mineral Wells, TX705952.5$198K+8.2%#92 of 538
8Raymondville, TX671526.4$356K−0.8%#109 of 538
9Del Rio, TX676035.7$282K+0.5%#112 of 538
10Brenham, TX678051.7$216K+7.0%#116 of 538
41Nacogdoches, TX2220581.0$119K+2.2%#503 of 538

Other business types in the Nacogdoches area

Each with its Groundwork market score here, out of 100, where it has one.

Questions

How many medical and dental practices are in the Nacogdoches, TX area?

There are 205 medical and dental practices on map listings in the Nacogdoches area as of September 2026. 23 of them (11%) are chain locations. The listings count every outpatient clinic and practice, and urgent care. Official counts show 110 businesses with payroll classed as offices of physicians, dentists, chiropractors, optometrists and therapists, and urgent care centers in 2023, down 16.0% from 2019. Another 50 one-person businesses have no payroll, by official counts.

How much do households in the Nacogdoches, TX area spend on medical and dental services?

About $24.5M a year, or $967 per household. That is 25% below the U.S. average (an index of 75, where 100 is the U.S. average). Spread across the 205 medical and dental practices on map listings, it comes to $119K per practice. It is estimated from the incomes of the 25,302 households in the Nacogdoches area and national spending patterns by income.

How does the Nacogdoches, TX area compare with the U.S. for medical and dental practices?

The Nacogdoches area has 81.0 medical and dental practices per 10,000 households, 4% below the U.S. rate of 84.5. Spending per practice is $119K, 22% below the U.S. figure of $152K. At the national ratio of medical and dental practices to household spending, the Nacogdoches area would have about 160, against 205 on map listings. There is one business with payroll in the industry for every 230 households, against one for every 270 across the U.S. The official count fell 16.0% from 2019 to 2023, against +1.5% for the U.S.

How fast is the Nacogdoches, TX area growing?

Population estimates put the Nacogdoches area at 66,035 people in 2025, up 2.2% since 2020, slower than the U.S. (+3.1%). It has 25,302 households. Median household income in the Nacogdoches area is $53,555, 34% below the U.S. median of $80,734. Against the 2015–2019 survey, the median rose 19.4%, before inflation.

What is the Groundwork market score?

The Groundwork market score runs from 0 to 100 and compares a market with others of its kind for one business type: states with states, metro areas with metro areas, small-town markets and counties with their own. A small-town market is a town of 10,000 to 50,000 people and the county or counties tied to it by commuting. It weighs household spending per competitor (35%), households per business with payroll (25%), population growth (20%) and spending power (20%), each ranked against those peers. A higher score means that, taken together, the market has more household spending and more households for each business already there, faster population growth and more spending per household than similar markets. It describes a market, not any one site or deal. The Nacogdoches area scores 22 for medical and dental practices (low), #503 of 538 scored small-town markets.

How can I see the market around a specific site?

Run a Groundwork site report on an address in the Nacogdoches area. It maps the medical and dental practices on map listings near the site and sizes the households and spending within the distance you choose. New accounts get 10 actions over 3 days, no card.

How the score works · Top markets for medical and dental practices · All 56 business types in the Nacogdoches area

Screening a site or an acquisition in the Nacogdoches area?

A site report maps the competitors on map listings near an address and sizes the households and spending around it.

The button opens the report at the center of the Nacogdoches area. Signed out, you see a blurred preview; on an account, each report is one action.

This product uses the Census Bureau Data API but is not endorsed or certified by the Census Bureau.

Figures are estimates for research only. Not investment or real estate advice.