<p>A 161-bed acute care hospital in Nacogdoches, Texas is recruiting a board-certified or board-eligible Neurosurgeon to join an established, high-volume practice in the heart of East Texas's Piney Woods. The position is 80% spine-focused, with a strong built-in referral base already in place from day one. The hospital operates a Level IV Trauma Center, a designated Primary Stroke Center, an on-site Ambulatory Surgery Center, and advanced imaging — giving a spine neurosurgeon the full infrastructure needed to practice at a high level. This is a rare opportunity to step into a mature, community-anchored practice with immediate surgical volume and a collegial medical staff of 75 physicians.</p>
<h3>Perks and Benefits</h3> <ul> <li>Competitive base salary plus productivity bonus structure</li> <li>Comprehensive benefits package including health, dental, and vision coverage</li> <li>Paid vacation time and dedicated CME days with stipend</li> <li>Strong, established referral network providing immediate patient volume</li> <li>Texas has no state income tax, meaningfully increasing take-home compensation</li> <li>Stable, established practice environment with excellent work-life balance</li> </ul>
<h3>Practice Highlights</h3> <ul> <li>80% spine-focused neurosurgery practice with the remaining 20% general neurosurgical case mix</li> <li>Built-in referral base from an active medical staff of 75 physicians across specialties</li> <li>161-bed acute care hospital generating approximately 21,000 patient days and 6,000 admissions annually</li> <li>11-bed ICU providing dedicated critical care support for complex neurosurgical patients</li> <li>Level IV Trauma Center with neurosurgical call coverage expectations consistent with that designation</li> <li>Designated Primary Stroke Center — active neurovascular collaboration on campus</li> <li>On-site Ambulatory Surgery Center (ASC) for outpatient spine and elective surgical volume</li> <li>Advanced imaging on campus: MRI, CT, and cardiac catheterization lab</li> <li>Modern surgical facilities with experienced OR support staff already in place</li> <li>Growing neurological surgery service line — opportunity to shape the program's expansion</li> </ul>
<h3>Qualifications</h3> <ul> <li>Board certification or board eligibility in Neurological Surgery (ABNS)</li> <li>Completion of an ACGME-accredited Neurological Surgery residency required</li> <li>Fellowship training in Spine Surgery preferred; candidates without fellowship training who carry strong spine volume from residency will be considered</li> <li>Commitment to building a community-focused, high-volume spine practice</li> <li>Active Texas medical license or eligibility to obtain prior to start</li> <li>Team-oriented approach with strong communication and leadership skills suited to a collegial community hospital environment</li> </ul>
<h3>About the Community</h3> <p>Nacogdoches holds the distinction of being the oldest town in Texas, set amid the rolling forests and lakes of the East Texas Piney Woods — a region that rewards physicians who value natural beauty, outdoor recreation, and genuine community connection. The area offers a low cost of living, highly regarded public schools, and a welcoming small-city atmosphere, all without a state income tax burden. Nacogdoches sits within comfortable driving distance of Houston, Dallas, and Shreveport, making it easy to access major-city amenities while enjoying a pace of life that supports long-term career satisfaction.</p>