Health care · County · Texas
Primary care and pediatric clinics in Nacogdoches County, TX
How Nacogdoches County, TX compares with other counties and the U.S. for primary care and pediatric clinics: competitors, household spending, official counts and growth.
Groundwork market score · out of 100
Score 15 out of 100: Low
Ranked #1,605 of 1,656 scored counties
#111 of 114 scored counties in Texas
- Listings
- 38
- 2 chain locations (5%)
- Official establishments
- 65
- −17.7% since 2019
- Household spending a year
- $24.5M
- On medical and dental services · $967 a household
- Spending per listing
- $644K
- 64% below the U.S.
- Listings per 10k households
- 15.0
- 2.1 times the U.S.
- Population, 2025
- 66,035
- +2.2% since 2020
See the primary care and pediatric clinics around any address in Nacogdoches County
The site report maps the primary care and pediatric clinics 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 Nacogdoches County. Signed out, you see a blurred preview; on an account, each report is one action.
Free10 actions over 3 days, no cardSurvey estimates 2020–2024 · population estimates 2025 · official business counts 2023 · map listings September 2026 · Data credits · How we measure
What this means
The Groundwork market score for primary care and pediatric clinics in Nacogdoches County is 15 (low), #1,605 of 1,656 scored counties and #111 of 114 scored counties in Texas. That puts it in the bottom quarter of counties.
Household spending on medical and dental services in Nacogdoches County comes to about $24.5M a year: $967 per household, 25% below the U.S. average. Spread across 38 primary care and pediatric clinics, that is $644K per clinic, 64% below the U.S. figure of $1.8M. The spending figure covers all medical and dental services, not only primary care and pediatric clinics.
Nacogdoches County has 38 primary care and pediatric clinics on map listings as of September 2026. 2 of them (5%) are chain locations, against 9% across the U.S. That comes to 15.0 for every 10,000 households, 2.1 times the U.S. rate of 7.2.
In 2023, official counts showed 65 businesses with payroll in Nacogdoches County classed as offices of physicians, down 17.7% from 2019. That is one for every 389 households, against one for every 593 across the U.S. Between 2020 and 2025, the population of Nacogdoches County grew 2.2%, slower than the U.S. (+3.1%).
How Nacogdoches County 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 primary care and pediatric clinics counted, so it measures the demand for each competitor, not any business’s revenue. Households per establishment does the same with the official count.
| Measure | Nacogdoches County | Texas | U.S. |
|---|---|---|---|
| Listings per 10k households | 15.0 | 8.7 | 7.2 |
| Spending per listing | $644K | $1.3M | $1.8M |
| Households per official establishment | 389 | 486 | 593 |
| Official establishment growth, 2019–2023 | −17.7% | +1.9% | −2.2% |
| 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 score | 15 | 31 |
Official counts and lending
Businesses
- Official establishments, 2019 to 2023
- 79 → 65−17.7% over the period
- Employees, 2023
- 631
- Annual payroll, 2023
- $42.5M
- One-person businesses, 2023
- 42Businesses with no payroll
- Map listings, September 2026
- 382 chain locations
- Listings at the U.S. rate for this spending
- 14The 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 in Nacogdoches County, 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 Nacogdoches County
- 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 Nacogdoches County?
These figures cover the whole county. A site report draws rings around one address and counts what’s inside them: households, spending, jobs, and the primary care and pediatric clinics on map listings by name and distance.
Or open the report at the center of Nacogdoches County. Signed out, you see a blurred preview; on an account, each report is one action.
Free10 actions over 3 days, no cardPrimary care and pediatrics across Texas
Every Texas market ranked →The highest-scoring counties in Texas for primary care and pediatric clinics, numbered among those based in Texas, with Nacogdoches County marked.
Top counties in Texas
| Market | Score | Listings | Per 10k households | Spending per listing | Population growth | U.S. rank |
|---|---|---|---|---|---|---|
| 1Waller County, TX | 89 | 5 | 2.7 | $4.4M | +21.9% | #16 of 1,656 |
| 2Chambers County, TX | 80 | 11 | 6.4 | $2M | +22.6% | #94 of 1,656 |
| 3Kaufman County, TX | 78 | 25 | 4.9 | $2.4M | +42.2% | #109 of 1,656 |
| 4Coryell County, TX | 77 | 6 | 2.2 | $4.7M | +3.0% | #112 of 1,656 |
| 5Hardin County, TX | 77 | 8 | 3.6 | $3.1M | +4.2% | #122 of 1,656 |
| 6Bastrop County, TX | 77 | 14 | 3.8 | $3.1M | +21.3% | #123 of 1,656 |
| 7Wilson County, TX | 76 | 8 | 4.4 | $2.8M | +12.2% | #137 of 1,656 |
| 8Upshur County, TX | 76 | 6 | 3.9 | $2.7M | +8.2% | #139 of 1,656 |
| 9Randall County, TX | 75 | 19 | 3.3 | $3.5M | +7.9% | #148 of 1,656 |
| 10Hill County, TX | 74 | 5 | 3.6 | $2.8M | +9.8% | #174 of 1,656 |
| 111Nacogdoches County, TX | 15 | 38 | 15.0 | $644K | +2.2% | #1,605 of 1,656 |
Other business types in Nacogdoches County
Each with its Groundwork market score here, out of 100, where it has one.
Food and drink
Groceries and convenience
Auto
Beauty and personal care
Fitness and classes
Health care
- Doctors, dentists and clinics20
- Dentists and orthodontists30
- Primary care and pediatrics15
- Urgent care and walk-in clinics
- Chiropractors64
- Physical therapy51
- Optometrists and eye care26
Child care
Clothing and laundry
Home services
Real estate
Funeral services
Questions
How many primary care and pediatric clinics are in Nacogdoches County, TX?
Map listings as of September 2026 show 38 primary care and pediatric clinics in Nacogdoches County. 2 of them (5%) are chain locations. The listings count primary care, family medicine and pediatric clinics. Official counts show 65 businesses with payroll classed as offices of physicians in 2023, down 17.7% from 2019. Another 42 one-person businesses have no payroll, by official counts.
How much do households in Nacogdoches County, TX 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 38 primary care and pediatric clinics on map listings, it comes to $644K per clinic. That spending covers all medical and dental services, which primary care and pediatric clinics share with other businesses in the trade. It is estimated from the incomes of the 25,302 households in Nacogdoches County and national spending patterns by income.
How does Nacogdoches County, TX compare with the U.S. for primary care and pediatric clinics?
Nacogdoches County has 15.0 primary care and pediatric clinics per 10,000 households, 2.1 times the U.S. rate of 7.2. Spending per clinic is $644K, 64% below the U.S. figure of $1.8M. At the U.S. ratio of primary care and pediatric clinics to household spending, Nacogdoches County would have about 14, against 38 on map listings. There is one business with payroll in the industry for every 389 households, against one for every 593 across the U.S. The official count fell 17.7% from 2019 to 2023, against −2.2% for the U.S.
How fast is Nacogdoches County, TX growing?
Population estimates put Nacogdoches County 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 Nacogdoches County 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. 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. Nacogdoches County scores 15 for primary care and pediatric clinics (low), #1,605 of 1,656 scored counties.
How can I see the market around a specific site?
Run a Groundwork site report on an address in Nacogdoches County. It maps the primary care and pediatric clinics 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 primary care and pediatric clinics · All 56 business types in Nacogdoches County
Screening a site or an acquisition in Nacogdoches County?
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 Nacogdoches County. 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.