Carefirst Emergency Center in Paris

Sams Paris LLC is developing the Carefirst Emergency Center in Paris, a new 8,800 square foot medical facility located at Lot 4A, 2810 NE Loop 286. The project scope includes the construction of the medical building, an ambulance awning, and associated site work. This private development is estimated to cost $3,000,000, establishing a cost of $341 per square foot for the new structure in Lamar County.

Project Status and Timeline

The project was registered with TDLR in January 2026, and plan review was completed in the same month. Construction is scheduled to begin in August 2026 and is scheduled to finish in December 2027. This timeline represents a 494-day build window, which is longer than the 212-day median for new construction filings in the county. The current TDLR status is Review Complete, indicating that the initial regulatory checks for this accessibility project have been finalized before ground is broken.

D1architect serves as the design firm of record, while Sheri Bumgardner is the registered accessibility specialist responsible for the project. The site is situated on private land for private use, funded entirely by private sources. This geographic positioning avoids the specific flood risk requirements that apply to higher-risk zones, though standard site work remains part of the scope.

In the context of local construction activity, the Carefirst Emergency Center represents a significant investment. The estimated cost of $3,000,000 is above the county median of $650,000 for similar new construction types. Furthermore, the $341 per square foot cost is significantly above the county median of $125 per square foot, reflecting the specialized nature of medical infrastructure compared to general commercial or residential builds in the region.

The facility is being built in a community with a population of about 23,717 and a median household income of $44,241. Nearby existing businesses include Paynes Mobile Truck and Trailer Repair and Welasco Inc. The project adds a new specialized medical resource to the area, distinct from the surrounding commercial landscape. The registration and review process ensures that the building meets specific accessibility standards before the August 2026 start date.