April 2015
THE PHYSICIAN WORKFORCE IN TEXAS
An Examination of Physician Distribution, Access, Demographics, Affiliations, and Practice
Patterns in Texas’ 254 Counties
Prepared for North Texas Regional Extension Center by:
Copyright 2015
NTREC
APPENDIX A |ACO Facilities
Supported by Grant Number EP-HIT-09-003 from the Office of the National Coordinator, Department of Health and Human Services.
THE PHYSICIAN WORKFORCE IN TEXAS
An Examination of Physician Distribution, Access, Demographics, Affiliations, and Practice
Patterns in Texas’ 254 Counties
TABLE OF CONTENTS
Introduction.............................................................................................
Key Findings.............................................................................................
Physicians by County................................................................................
Severe Shortage Areas and Specialties....................................................
Low Physician Ratios and Maldistribution...............................................
Health Professional Shortage Areas.........................................................
A Growing Supply of Physicians...............................................................
State of Primary Care...............................................................................
A Shortage of Specialists..........................................................................
Physician Retention in Texas....................................................................
Diversity Challenges.................................................................................
A Growing Demand for Physicians...........................................................
Physician Practice Patterns/Effects on Access.........................................
Impact of Physician Age...........................................................................
Physician Morale in Texas........................................................................
Impact of Gender.....................................................................................
Team-Based Health, PAs and NPs............................................................
Employment, Consolidation and Affiliations............................................
Population Management and Accountable Care Organizations..............
Meaningful Use........................................................................................
Conclusion................................................................................................
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3
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37
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41
45
68
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75
81
86
89
APPENDIX
HPSA Designated Counties and Service Areas In Texas........................... A
Urgent Care and Walk-In Clinics in Texas................................................. B
Hospitals in Texas With Affiliated Physicians........................................... C
Merritt Hawkins Project Team:
Project Manager
Lead Author
Research Director
Research Associate
Travis Singleton, Senior Vice President
Phillip Miller, Vice President, Communications
Samantha Avila, MHA, Project Specialist
Garrett Garber, Corporate Communication Specialist
THE PHYSICIAN WORKFORCE IN TEXAS
An Examination of Physician Distribution, Access, Demographics, Affiliations, and Practice
Patterns in Texas’ 254 Counties
INTRODUCTION
What is the state of physician distribution and access in Texas’ 254 counties? How are physician
practice patterns, demographics, affiliations, employment status, electronic health record (EHR)
implementation, Medicare and Medicaid acceptance rates and other practice characteristics and metrics
evolving in the state, and how will these changes affect patient access to care?
Merritt Hawkins, a national physician search and consulting firm and a company of AMN Healthcare
(NYSE: AHS), was commissioned by the North Texas Regional Extension Center (NTREC) to complete a
physician demographic study examining these and related questions. This report and its Appendices
and accompanying Excel sheet data sets delineate our findings and analysis.
About North Texas Regional Extension Center and DFW Hospital Council Foundation
A program of the DFW Hospital Council (DFWHC) Foundation (www.dfwhcfoundation.org), the North
Texas Regional Extension Center (NTREC) assists physicians in 42 counties in implementing Electronic
Health Records. NTREC was funded by a 2010 grant from the U.S. Department of Health and Human
Services, Office of the National Coordinator for Health Information Technology. The DFWHC Foundation
is a non-profit 501(c)(3) organization with a mission to continually improve the community’s health by
promoting high quality and cost effective healthcare.
About Merritt Hawkins
Established in 1987, Merritt Hawkins is the largest physician search and consulting organization in the
United States, working with hundreds of hospitals and other healthcare facilities each year nationwide.
Merritt Hawkins also conducts internal research for the benefit of its clients and external research on
behalf of third parties interested in physician demographics, physician practice patterns, community
needs assessment, and related topics. Merritt Hawkins has conducted external research for a variety of
organizations, including The Physicians Foundation, a non-profit group of over 20 state medical
societies, the Indian Health Service, Trinity University’s Department of Health Care Administration, the
Association of Academic Surgical Administrators, and a variety of hospitals and hospital systems.
A “State of the Union”
The purpose of this study is to gain a better understanding of the current disposition of physicians in
Texas - where they are located, in which specialties they practice, whether they are employed or are
independent, whether they are affiliated with larger entities, what types of patients they see, their
morale levels, practice patterns, future practice plans and other characteristics likely to affect access to
quality patient care in the state.
The intent is to present a “state of the union” of the medical
profession in Texas that NTREC may use to evaluate the state’s total physician workforce in the context
of its mission to ensure the meaningful use of information technology in support of physician practices
and thereby enhance patient access to physician services.
A Range of Data
Following in this report are data collected on the 254-county area of Texas obtained through various
public and proprietary sources as collected and evaluated by Merritt Hawkins. This data include
physicians by name, specialty, NPI ID, group practice name or affiliation, employment status, Medicare
and Medicaid acceptance rates, Meaningful Use payments, and related metrics.
1|Page
The service area examined in this report includes 254 Texas counties depicted in the map below:
In the following sections of this report, Merritt Hawkins will quantify the number and distribution of
physicians in Texas and compare them to national averages. We will examine the physician workforce in
the state by age, gender and practice patterns and project how these factors may affect physician
availability. Merritt Hawkins also will examine Medicare and Medicaid rates of acceptance in the 254county area to determine potential access to physicians among patients covered by these government
programs.
Merritt Hawkins will further examine the disposition of physicians in Texas, providing an estimate of the
percent that are employed by or affiliated with various entities and the percent that remain
independent.
The goal will be to provide both fresh and accessible data reflecting provider numbers and affiliations of
physicians in the state, and an analysis of how these numbers may affect accessibility to care and the
potential need for additional providers. Accompanying this report is an electronic spread sheet listing
the majority of physicians in Texas by various fields, including name, specialty, practice status and
others.
2|Page
KEY FINDINGS
The study reveals a variety of characteristics about the physician workforce in Texas of particular note,
including:
 Approximately 63,000 licensed physicians reside in Texas. Of these, 46,953 are in active patient
care and this is considered the net physician workforce in the state in this report. They serve a
population of 26,448,193 Texas residents.
 Texas ranks 41st among the 50 states in active patient care physicians per 100,000 population.
 It would require 12,819 additional physicians to bring Texas in line with the national average of
physicians per 100,000 population.
 Texas ranks 47th in the nation in active primary care physicians (PCPs) per 100,000 population.
 35 Texas counties have no physicians of any kind.
 80 Texas counties have five or fewer physicians.
 147 Texas counties have no obstetrician/gynecologist.
 185 Texas counties have no general psychiatrist.
 158 Texas counties have no general surgeon.
 The physician workforce in Texas is disproportionately located in the five most populous
counties in the state (Harris, Dallas, Tarrant, Bexar, Travis). 26,620 physicians (57% of the total
workforce) practice in these counties, though only 44% of the state’s population resides in these
counties.
 Smaller counties of 40,000 people or less are home to 2,264,257 Texans (8.6% of the state’s
population), but only 1,170 physicians (2.5% of the total workforce) practice in these counties.
 There is a ratio of only 52 physicians per 100,000 population in counties of 40,000 people or less
in Texas, compared to 228 per 100,000 for the five most populous counties and 183 per 100,000
for the entire state.
 Though it has a relatively low ratio of physicians per population, Texas is one of the few states
where growth in the physician workforce is matching or exceeding growth in the general
population. Since the passage of tort reform in 2003, Texas has licensed an average of 3,200
new physicians a year.
 Emerging practice patterns and practice choices among Texas physicians are likely to erode
access to physician services in the state, as 45% of Texas physicians plan to accelerate their
retirement plans, 19% plan to cut back on hours, 9% plan to switch to concierge practice, and
6.4% plan to work part-time.
 Texas physicians have little capacity to take on extra work or see more patients. Over 78% of
Texas physicians indicate they now are at full capacity or are overworked and overextended.
 A relatively high number of Texas physicians remain in independent practice, but a growing
number are employed or are affiliated with larger entities. Between 45% and 49% of Texas
physicians are independent practice owners, compared to approximately 35% nationally.
 Texas has the highest number of physicians in solo practice (29%) of any state.
 Medicare and Medicaid acceptance rates are relatively low among Texas physicians. 35% do not
accept Medicaid and 20% do not accept Medicare, compared to 18% and 13% of physicians
nationally.
 Texas ranks 43rd in number of physicians participating in the state insurance exchanges
established by the Affordable Care Act (ACA).
 Texas ranks 39th in number of physicians participating in Accountable Care Organizations (ACOs).
 The professional morale of Texas physicians is relatively low, 46th out of 50 states, a fact that has
significant implications for healthcare access and quality.
3|Page
As these and other data show, the physician workforce in Texas is characterized by a deep divide
between rural, low population density areas, where physician access can be minimal to non-existent,
and urban/ suburban, high population density areas, where physician access can be comparatively more
robust. However, even within more populous regions, there are areas where physician-to-population
ratios are low and physician access can be problematic.
In addition, the physician workforce in Texas is in transition, maintaining a comparatively large number
of independent doctors, but moving toward the employed and affiliated practice models.
This
unsettled status has led to a paradox – a rapidly growing physician workforce with doctors being
attracted to the state, yet one where morale is low and where a significant number of physicians
indicate they plan to alter their practice styles in ways that may affect access to services in the state.
These evolving physician practice patterns, including rates of Medicare and Medicaid acceptance, as
well as changing physician demographics, will further limit access to physicians in Texas, where
physician-to-population ratios already are low relative to national averages. These trends are examined
in more detail below.
PHYSICIANS BY COUNTY
The physician workforce in Texas is comprised of 46,953 doctors in active patient care, as tracked by the
American Medical Association’s Physician Master File, the most comprehensive data source of physician
numbers and distribution in the industry. The numbers in the chart below are taken from this data set.
Merritt Hawkins also uses a robust subset of this number (39,200 physicians) for which detailed data is
available through the AMA Master File and SK&A, one of the leading healthcare database companies in
the United States, to track information on the employment status of doctors, practice affiliations,
Meaningful Use, NPI ID, and related data and metrics. An Excel spread sheet tracking this data is
included with this report.
Physicians in Texas represent approximately 6% of the 750,000 physicians in active patient care in the
United States, while the Texas population of 26,299,463 represents 8.4% of the United States’ total
population of 316 million (AMA Physician Master File/U.S Census Bureau). By 2019, the population in
Texas is projected to grow by 11% to 29,094,644, if recent population growth patterns remain
consistent. The chart below lists Texas’ current population per its 254 counties, its projected population
to 2019, and its current physician population by county:
Texas Service Area by Population, Projected Population and Current Active Physician Population
County
Anderson
Andrews
Angelina
Aransas
Archer
Armstrong
Atascosa
Austin
Population
(2013)
57,938
16,799
87,441
24,356
8,681
1,949
47,093
28,847
Population Estimate
(2019)
56,895
21,368
88,840
26,889
7,969
2,046
51,708
29,712
Current Physician
Population
39
10
121
6
7
0
25
8
4|Page
Bailey
Bandera
Bastrop
Baylor
Bee
Bell
Bexar
Blanco
Borden
Bosque
Bowie
Brazoria
Brazos
Brewster
Briscoe
Brooks
Brown
Burleson
Burnet
Caldwell
Calhoun
Callahan
Cameron
Camp
Carson
Cass
Castro
Chambers
Cherokee
Childress
Clay
Cochran
Coke
Coleman
Collin
Collingsworth
Colorado
Comal
Comanche
Concho
Cooke
Coryell
Cottle
7,114
20,601
75,825
3,614
32,799
326,843
1,817,610
10,723
637
17,855
93,487
330,242
203,164
9,286
1,537
7,237
37,749
17,169
43,823
39,232
21,806
13,525
417,276
12,413
6,010
30,331
8,030
36,812
50,878
7,095
10,473
3,016
3,210
8,543
854,778
3,099
20,752
118,480
13,623
4,043
38,467
76,192
1,452
7,014
20,848
79,161
3,397
34,701
362,142
2,035,723
11,688
629
17,141
95,357
366,569
220,636
9,397
1,349
7,266
37,070
17,135
46,014
41,664
22,678
13,498
439,809
12,438
5,673
30,088
7,966
40,420
50,980
7,209
9,928
2,805
2,998
7,860
1,013,767
3,186
20,503
140,280
12,942
3,954
38,544
77,716
1,350
3
10
28
3
11
917
4,808
6
0
8
201
601
439
12
1
0
37
6
51
13
15
5
436
5
0
9
3
5
33
7
3
0
1
4
2,237
1
15
226
6
0
18
22
0
5|Page
Crane
Crockett
Crosby
Culberson
Dallam
Dallas
Dawson
Deaf Smith
Delta
Denton
DeWitt
Dickens
Dimmit
Donley
Duval
Eastland
Ector
Edwards
El Paso
Ellis
Erath
Falls
Fannin
Fayette
Fisher
Floyd
Foard
Fort Bend
Franklin
Freestone
Frio
Gaines
Galveston
Garza
Gillespie
Glasscock
Goliad
Gonzales
Gray
Grayson
Gregg
Grimes
Guadalupe
4,773
3,807
5,991
2,277
7,057
2,480,331
13,810
19,177
5,238
728,799
20,503
2,291
10,897
3,522
11,640
18,245
149,378
1,884
827,718
155,976
39,658
17,493
33,659
24,821
3,856
6,230
1,277
652,365
10,660
19,646
18,065
18,921
306,782
6,317
25,357
1,251
7,465
20,312
23,043
122,353
123,024
26,859
143,183
5,642
3,990
5,859
2,049
7,805
2,718,443
13,755
18,793
5,248
874,559
21,323
2,002
12,858
3,226
11,361
17,588
175,967
1,662
884,003
169,390
43,386
16,758
33,120
25,367
3,625
5,806
1,165
803,714
10,767
19,332
19,835
21,948
339,301
6,039
26,422
1,301
7,988
21,328
24,103
125,289
125,731
27,450
168,670
1
0
2
1
0
5,924
4
8
1
958
8
1
4
1
0
6
180
0
1,134
119
43
7
8
19
2
4
0
1,412
4
8
4
6
793
0
62
0
1
6
14
166
271
7
101
6|Page
Hale
Hall
Hamilton
Hansford
Hardeman
Hardin
Harris
Harrison
Hartley
Haskell
Hays
Hemphill
Henderson
Hidalgo
Hill
Hockley
Hood
Hopkins
Houston
Howard
Hudspeth
Hunt
Hutchinson
Irion
Jack
Jackson
Jasper
Jeff Davis
Jefferson
Jim Hogg
Jim Wells
Johnson
Jones
Karnes
Kaufman
Kendall
Kenedy
Kent
Kerr
Kimble
King
Kinney
Kleberg
35,764
3,239
8,310
5,555
4,016
55,417
4,336,853
66,886
6,100
5,875
176,026
4,158
78,675
815,996
34,823
23,530
52,905
35,565
22,911
36,147
3,318
87,048
21,819
1,612
8,957
14,591
35,649
2,253
252,358
5,245
41,680
154,707
19,859
15,081
108,568
37,766
412
807
49,953
4,481
285
3,586
32,101
34,763
3,019
7,911
5,444
3,775
56,969
4,857,275
69,428
6,173
5,828
218,272
4,923
78,990
902,492
34,266
24,754
56,503
36,347
21,307
38,460
3,019
88,963
21,164
1,638
8,778
15,671
35,506
2,082
252,408
5,140
43,431
162,442
19,184
15,594
119,642
47,585
404
805
50,652
4,239
283
3,564
32,165
15
1
8
1
5
18
9,605
45
5
1
144
4
56
763
17
15
45
22
10
26
0
52
9
0
3
2
18
1
394
0
18
96
6
5
51
113
0
0
103
2
0
0
17
7|Page
Knox
La Salle
Lamar
Lamb
Lampasas
Lavaca
Lee
Leon
Liberty
Limestone
Lipscomb
Live Oak
Llano
Loving
Lubbock
Lynn
Madison
Marion
Martin
Mason
Matagorda
Maverick
McCulloch
McLennan
McMullen
Medina
Menard
Midland
Milam
Mills
Mitchell
Montague
Montgomery
Moore
Morris
Motley
Nacogdoches
Navarro
Newton
Nolan
Nueces
Ochiltree
Oldham
3,767
7,369
49,426
13,775
20,222
19,581
16,628
16,742
76,907
23,326
3,485
11,867
19,444
95
289,324
5,723
13,781
10,235
5,312
4,128
36,592
55,932
8,330
241,481
764
47,399
2,148
151,468
24,167
4,907
9,402
19,503
499,137
22,141
12,834
1,196
65,330
48,038
14,140
15,037
352,107
10,806
2,102
3,865
8,401
48,734
13,389
21,354
20,247
16,661
16,608
79,522
23,186
3,868
12,555
19,716
125
311,313
5,357
14,001
9,641
6,449
4,367
36,372
59,400
8,430
255,004
888
50,243
1,968
183,882
23,007
4,848
9,400
19,074
593,973
22,628
12,629
1,167
66,898
48,614
13,546
14,676
376,754
12,038
2,203
1
1
80
4
14
11
6
3
29
9
0
0
16
0
755
4
2
1
1
1
16
22
4
424
0
14
0
230
4
0
2
7
842
11
2
0
101
36
1
7
695
3
1
8|Page
Orange
Palo Pinto
Panola
Parker
Parmer
Pecos
Polk
Potter
Presidio
Rains
Randall
Reagan
Real
Red River
Reeves
Refugio
Roberts
Robertson
Rockwall
Runnels
Rusk
Sabine
San Augustine
San Jacinto
San Patricio
San Saba
Schleicher
Scurry
Shackelford
Shelby
Sherman
Smith
Somervell
Starr
Stephens
Sterling
Stonewall
Sutton
Swisher
Tarrant
Taylor
Terrell
Terry
82,957
27,889
23,870
121,418
9,965
15,697
45,790
121,661
7,201
11,065
126,474
3,601
3,350
12,470
13,965
7,305
831
16,486
85,245
10,309
53,622
10,361
8,769
26,856
66,137
6,012
3,206
17,302
3,375
25,792
3,093
216,080
8,658
61,963
9,247
1,219
1,432
4,006
7,763
1,911,541
134,117
903
12,743
85,280
27,443
24,013
130,646
9,367
16,074
46,523
122,878
6,063
11,375
138,616
4,098
3,430
11,697
14,328
7,144
656
16,222
100,248
9,938
54,158
9,449
8,576
27,823
68,915
5,784
2,732
18,098
3,368
26,514
3,211
229,045
9,004
63,946
8,507
1,380
1,320
3,766
7,577
2,125,634
139,482
755
12,921
25
16
11
125
3
8
37
299
2
1
181
1
0
3
5
1
0
2
172
7
30
3
3
3
26
1
1
5
0
5
0
680
9
12
3
0
1
4
2
3,205
249
0
6
9|Page
Throckmorton
Titus
Tom Green
Travis
Trinity
Tyler
Upshur
Upton
Uvalde
Val Verde
Van Zandt
Victoria
Walker
Waller
Ward
Washington
Webb
Wharton
Wheeler
Wichita
Wilbarger
Willacy
Williamson
Wilson
Winkler
Wise
Wood
Yoakum
Young
Zapata
Zavala
TOTALS
1,600
32,581
114,954
1,120,954
14,393
21,464
39,884
3,372
26,926
48,623
52,481
90,028
68,817
45,213
11,244
34,147
262,495
41,216
5,751
132,047
13,131
21,921
471,014
45,418
7,606
60,939
42,306
8,184
18,341
14,390
12,156
26,448,193
1,520
33,102
124,840
1,331,693
14,019
20,863
41,001
3,406
28,003
48,137
52,271
96,690
70,744
49,373
12,481
35,035
288,220
41,051
6,476
133,103
12,343
21,483
579,347
50,686
8,671
64,717
42,983
8,822
17,937
15,167
13,153
29,244,491
2
33
210
3,078
2
5
14
1
21
29
10
160
42
4
1
37
188
35
0
237
9
7
796
21
1
51
21
2
14
5
2
46,953
Source: American Medical Association Physician Master File/MMS/U.S. Census Bureau 2014
SEVERE SHORTAGE AREAS AND SPECIALTIES
An examination of these numbers indicates that Texas, a large and demographically varied state, has a
pronounced shortage of physicians in particular counties and in certain medical specialties, as well as
fewer physicians per capita overall than the national average. Some counties have no physician of any
kind, many have very few physicians, and an inordinate number have no physicians in certain key
specialties.
10 | P a g e
Counties Without a Physician:
There are 35 counties in Texas without an active patient care physician. These counties include:
Armstrong
Concho
Edwards
Irion
Kinney
Menard
Shackelford
Borden
Cottle
Foard
Jim Hogg
Lipscomb
Mills
Sherman
Brooks
Crockett
Garza
Kenedy
Live Oak
Motley
Sterling
Carson
Dallam
Glasscock
Kent
Loving
Real
Terrell
Cochran
Duval
Hudspeth
King
McMullen
Roberts
Wheeler
Source: American Medical Association Physician Master File/MMS 2014
Below is a breakdown of the total population in these counties.
Population of Texas Counties With No Physician
Total
115,826
Average
3,309
High
11,867
Low
95
It is to be expected that some counties in Texas will lack a physician, given that population levels in
these counties may be too low to support a doctor.
Below are suggested physician-to-population ratios as determined by Richard A. Cooper, M.D., a
nationally known physician supply and utilization expert at the University of Pennsylvania/Wharton
School and Director of the Center for the Future of the Healthcare Workforce at the New York Institute
of Technology. These are demand-based ratios that suggest the number of physicians that can be
economically supported by a given population. Calculated in 2013, they are the most recent such ratios
of which Merritt Hawkins is aware; they are also the most “real world” ratios applicable, as they indicate
not how many physicians a population may theoretically need, but how many it can sustain given
economic
and
demographic
considerations.
Number of Physicians That Can be Supported per 100,000 Population
Family Medicine
Internal Medicine
Pediatrics
Cardiology
General Surgery
Obstetrics/Gynecology
Orthopedic Surgery
Psychiatry
31.0
29.6
16.1
7.1
10.7
13.0
7.9
14.7
Population Needed to Support One Physician by Specialty
Family Medicine
3,100
Internal Medicine
3,378
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Pediatrics
Cardiology
General Surgery
Obstetrics/Gynecology
Orthopedic Surgery
Psychiatry
6,250
14,084
9,346
7,692
12,658
6,802
Source: Richard A. Cooper, M.D./University of Pennsylvania/Wharton School
As these numbers show, a county, community, or other medical service area requires slightly in excess
of 3,000 people to support a single family physician or a general internist based on a national economic
model. An analysis would need to be made of each county or service area to obtain a more exact
number based on local economic, demographic and related conditions. However, 18 of 35 Texas
counties with no physician currently have a population of 3,000 or more, and therefore may have the
potential to support one or more primary care physicians.
Counties With One to Five Physicians:
There are 80 counties in Texas with one to five active patient care physicians. These counties include:
1
Briscoe
1
Rains
2
Trinity
4
Franklin
1
Coke
1
Reagan
2
Yoakum
4
Frio
1
Collingsworth
1
Refugio
2
Zavala
4
Hemphill
1
Crane
1
San Saba
3
Bailey
4
Lamb
1
Culberson
1
Schleicher
3
Baylor
4
Lynn
1
Delta
1
Stonewall
3
Castro
4
Mcculloch
1
Dickens
1
Upton
3
Clay
4
Milam
1
Donley
1
Ward
3
Jack
4
Sutton
1
Goliad
1
Winkler
3
Leon
4
Waller
1
Hall
2
Crosby
3
Ochiltree
5
Callahan
1
Hansford
2
Fisher
3
Parmer
5
Camp
1
Haskell
2
Jackson
3
Red River
5
Chambers
1
Jeff Davis
2
Kimble
3
Sabine
5
Hardeman
1
Knox
2
Madison
3
San Augustine
5
Hartley
1
La Salle
2
Mitchell
3
San Jacinto
5
Karnes
1
Marion
2
Morris
3
Stephens
5
Reeves
1
Martin
2
Presidio
4
Coleman
5
Scurry
1
Mason
2
Robertson
4
Dawson
5
Shelby
1
Newton
2
Swisher
4
Dimmit
5
Tyler
1
Oldham
2
Throckmorton
4
Floyd
5
Zapata
Source: American Medical Association Physician Master File/MMS 2014
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Below is a breakdown of the population of these counties:
Population of Texas Counties With One to Five Physicians
Total
782,790
Average
9,785
Total Physicians
202
High
45,213
Low
1,432
Physicians per 100,000
26
These low-physician counties have a combined ratio of 26 physicians per 100,000 population compared
to the national ratio of approximately 226 per 100,000 population and compared to the Texas ratio of
approximately 183 per 100,000. Though these counties have at least one active patient care physician,
as a group, and, most likely, individually, they can be considered severely underserved.
Counties Without an Obstetrician
There are 147 counties in Texas that do not have an active patient care obstetrician. These counties
include:
Aransas
Clay
Duval
Haskell
Lamb
Mills
San Augustine
Tyler
Archer
Cochran
Eastland
Hemphill
Lampasas
Mitchell
San Jacinto
Upshur
Armstrong
Coke
Edwards
Houston
Lavaca
Montague
San Patricio
Upton
Austin
Coleman
Fannin
Hudspeth
Lee
Morris
San Saba
Uvalde
Bailey
Collingsworth
Fisher
Irion
Leon
Motley
Schleicher
Van Zandt
Bandera
Comanche
Floyd
Jack
Limestone
Ochiltree
Scurry
Waller
Baylor
Concho
Foard
Jackson
Lipscomb
Oldham
Shackelford
Ward
Borden
Coryell
Franklin
Jasper
Live Oak
Parmer
Sherman
Wheeler
Bosque
Cottle
Freestone
Jeff Davis
Loving
Pecos
Somervell
Wilbarger
Brooks
Crane
Garza
Jim Hogg
Lynn
Presidio
Starr
Willacy
Burleson
Crockett
Glasscock
Jones
Madison
Rains
Stephens
Wilson
Caldwell
Crosby
Goliad
Karnes
Marion
Reagan
Sterling
Winkler
Callahan
Culberson
Gray
Kenedy
Martin
Real
Stonewall
Wood
Camp
Dallam
Grimes
Kent
Mason
Red River
Sutton
Zavala
Carson
Deaf Smith
Hall
Kimble
McCulloch
Refugio
Swisher
Cass
Delta
Hamilton
King
McMullen
Roberts
Terrell
Castro
DeWitt
Hansford
Kinney
Medina
Robertson
Terry
Chambers
Dickens
Hardeman
Knox
Menard
Runnels
Throckmorton
Childress
Donley
Hardin
La Salle
Milam
Sabine
Trinity
Source: American Medical Association Physician Master File/MMS 2014
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Below is a breakdown of the population of these counties.
Population of Texas Counties With No Active Patient Care Obstetrician
Total
1,940,722
Average
13,202
High
76,192
Low
95
The total population of counties in Texas without an obstetrician (1,904,722) is roughly equal to or
larger than the population of 14 individual states, including Wyoming, Vermont, North Dakota, South
Dakota, Alaska, Delaware, Montana, Rhode Island, New Hampshire, Maine, Hawaii, Idaho, Nebraska,
West Virginia as well as the District of Columbia.
Some of these counties do not have the population level necessary to support an obstetrical practice,
about 7,700 people or above, per Dr. Cooper. However, 78 of the 147 Texas counties without an
obstetrician currently do have a population of this size or greater and potentially could support one or
more obstetricians.
Texas Counties With No General Psychiatrist
There are 185 counties in Texas with no general psychiatrist. These counties include:
Andrews
Childress
Kleberg
Mitchell
Runnels
Upshur
Clay
Duval
Eastland
Hardin
Aransas
Hartley
Knox
Montague
Rusk
Upton
Armstrong
Atascosa
Cochran
Coke
Edwards
Ellis
Haskell
La Salle
Moore
Sabine
Uvalde
Hemphill
Lamb
Morris
San Augustine
Waller
Austin
Coleman
Fannin
Hill
Lee
San Jacinto
Ward
Bailey
Collingsworth
Fayette
Hockley
Leon
Motley
Nacogdoches
San Patricio
Washington
Baylor
Colorado
Fisher
Hopkins
Liberty
Navarro
San Saba
Wharton
Bee
Comanche
Floyd
Houston
Lipscomb
Newton
Schleicher
Blanco
Concho
Cooke
Foard
Franklin
Hudspeth
Hutchinson
Live Oak
Llano
Ochiltree
Scurry
Wheeler
Willacy
Oldham
Wilson
Coryell
Freestone
Cottle
Crane
Loving
Lynn
Orange
Frio
Irion
Jack
Shackelford
Shelby
Wise
Gaines
Jackson
Madison
Panola
Sherman
Somervell
Crockett
Crosby
Garza
Jasper
Marion
Parmer
Starr
Yoakum
Burleson
Martin
Pecos
Stephens
Young
Burnet
Culberson
Glasscock
Goliad
Jeff Davis
Mason
Presidio
Gonzales
Matagorda
Rains
Calhoun
Dallam
Dawson
Sterling
Stonewall
Zapata
Caldwell
Jim Hogg
Jim Wells
Gray
Jones
Maverick
Reagan
Sutton
Callahan
Deaf Smith
Grimes
Karnes
McCulloch
Delta
Hale
Kenedy
Carson
Cass
DeWitt
Hall
Dickens
Hamilton
Kent
Kimble
McMullen
Medina
Real
Red River
Swisher
Camp
Castro
Dimmit
Hansford
King
Menard
Milam
Chambers
Donley
Hardeman
Kinney
Mills
Borden
Bosque
Briscoe
Brooks
Brown
Palo Pinto
Reeves
Terrell
Terry
Refugio
Throckmorton
Roberts
Robertson
Trinity
Winkler
Wood
Zavala
Tyler
Source: American Medical Association Physician Master File/MMS 2014
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Below is a breakout of the population of these counties.
Population of Texas Counties With No General Psychiatrist
Total
3,274,774
Average
17,702
High
155,976
Low
95
The combined population of Texas counties now without a general psychiatrist (3,274,774) is roughly
equal to or larger than that of 21 individual states, including Wyoming, Vermont, North Dakota, Alaska,
South Dakota, Delaware, Montana, Rhode Island, New Hampshire, Maine, Hawaii, Idaho, West Virginia,
Nebraska, New Mexico, Nevada, Kansas, Utah, Arkansas, Mississippi, Iowa, as well as the District of
Columbia. Texas has the fourth lowest number of psychiatrists per 100,000 population in the United
States (4.1 per 100,000). Only Nevada, Mississippi, and Idaho have fewer psychiatrists per capita
(Source: AMA Physician Master File).
Again, some of these counties do not have the population level required to support a psychiatric
practice (6,800 people or more). However, 122 of the 185 Texas counties without a general psychiatrist
currently do have a population of this size or greater and potentially could support one or more general
psychiatrists.
Texas Counties With No General Surgeon
There are 158 counties in Texas with no general surgeon. These include:
Aransas
Cass
Delta
Gonzales
Kent
Mason
Real
Stonewall
Archer
Castro
Dewitt
Grimes
Kimble
Mcculloch
Red River
Sutton
Armstrong
Chambers
Dickens
Hall
King
McMullen
Reeves
Swisher
Austin
Cherokee
Dimmit
Hamilton
Kinney
Medina
Refugio
Terrell
Bailey
Childress
Donley
Hansford
Kleberg
Menard
Roberts
Terry
Bandera
Clay
Duval
Hardeman
Knox
Milam
Robertson
Throckmorton
Bastrop
Cochran
Eastland
Hardin
La Salle
Mills
Runnels
Trinity
Baylor
Coke
Edwards
Hartley
Lamb
Mitchell
Sabine
Upton
Blanco
Coleman
Falls
Haskell
Lampasas
Montague
San Augustine
Van Zandt
Borden
Collingsworth
Fannin
Hemphill
Lavaca
Morris
San Jacinto
Waller
Bosque
Comanche
Fisher
Hill
Lee
Motley
San Saba
Ward
Brewster
Concho
Floyd
Hudspeth
Leon
Newton
Schleicher
Wheeler
Briscoe
Coryell
Foard
Hutchinson
Limestone
Ochiltree
Scurry
Willacy
Brooks
Cottle
Franklin
Irion
Lipscomb
Oldham
Shackelford
Wilson
Burleson
Crane
Freestone
Jack
Live Oak
Palo Pinto
Shelby
Winkler
Caldwell
Crockett
Frio
Jeff Davis
Loving
Parmer
Sherman
Yoakum
Calhoun
Crosby
Gaines
Jim Hogg
Lynn
Pecos
Somervell
Zapata
Callahan
Culberson
Garza
Jones
Madison
Presidio
Starr
Zavala
Camp
Dallam
Glasscock
Karnes
Marion
Rains
Stephens
Carson
Dawson
Goliad
Kenedy
Martin
Reagan
Sterling
Source: American Medical Association Physician Master File/MMS 2014
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Below is a breakout of the population of these counties:
Population of Texas Counties With No General Surgeon
Total
2,066,766
Average
13,081
High
76,192
Low
95
The total population of counties in Texas without a general surgeon (2,066,766) is roughly equal to or
larger than the population of 14 individual states, including Wyoming, Vermont, North Dakota, South
Dakota, Alaska, Delaware, Montana, Rhode Island, New Hampshire, Maine, Hawaii, Idaho, West Virginia
and Nebraska, as well as the District of Columbia.
Seventy-four of the Texas counties without a general surgeon currently have a population of
approximately 9,400 people or more and therefore potentially could support one or more general
surgeons.
Effect on Rural Hospitals
The presence of at least one primary care physician and one general surgeon in a service area
supporting a hospital can be essential. The primary care physician is required to admit patients for
inpatient and outpatient care while a general surgeon frequently is needed to perform the procedures
that keep small (typically Critical Access) hospitals financially viable. Without these two key providers,
hospitals may be forced to close. A report entitled The National Economic Impact of Physicians,
prepared by IMS Health for the American Medical Association, quantifies the economic contributions of
office based physicians (see chart below):
Economic Impact of Physicians





Total economic output: The combined economic output of patient care physicians in the United
States is $1.6 trillion.
Per capita economic output: Each physician supports a per capita economic output of $2.2 million.
Jobs: On average, each physician supports 14 jobs.
Wages and benefits: On average, each physician supports a total of $1.1 million in wages and
benefits.
Tax revenues: On average, each physician supports $90,449 in local and state tax revenues.
Average Per Capita Economic Output of Patient Care Physicians in Texas
Output (in billions)
$78.6
Output per Physician
$1,626,858
Source: The American Medical Association: The National Economic Impact of Physicians, prepared by IMS
Health March 2014
There are 183 rural hospitals in Texas out of some 580 total licensed hospitals, with “rural” defined as a
county population of 75,000 or less (Texas Organization of Rural and Community Hospitals). These
hospitals provide access to routine care and emergency care to 15% of the state’s population, but cover
16 | P a g e
85% of the state’s geography. Texas has 80 Critical Access Hospitals (CAHs) that have 25 or fewer beds
and are at least 35 miles from anther hospital. Because hospitals often are the first or second largest
employer in small communities, a “domino effect” takes place when a hospital closes due to lack of
physicians. The local economy contracts and the community finds it difficult to attract new businesses
to an area with no hospital. It often can be observed that as rural physicians go, so go rural
communities.
According to the National Rural Health Association, 48 rural hospitals have closed nationwide since
2010, ten of them in Texas (The Washington Post, March 15, 2015).
LOW PHYSICIAN RATIOS AND MALDISTRIBUTION
Some 26,620 physicians in Texas’ 254-county service area (57% of the workforce) practice in the five
largest counties in Texas (Harris, Dallas, Tarrant, Bexar, Travis), though these counties are home to
11,667,289 people, or only 44% of the total population.
Smaller Texas counties of 40,000 or less account for 2,264,257 people in Texas (8.6% of the total
population) but only 1,170 physicians (2.5% of the total physician workforce).
Physician maldistribution is endemic nationally as well, as some 20% of the U.S. population lives in rural
areas while only 9% of physicians practice in these areas, according to the National Rural Health
Association. This is an ongoing problem in Texas and throughout the country, and is not likely to abate
soon, as few newly trained doctors entering the workforce indicate a preference for rural areas.
According to Merritt Hawkins 2015 Survey of Final-Year Medical Residents, only 3% of physicians
completing their training would prefer a community of 25,000 people or less (see chart below).
In What Size Community Would You Prefer to Practice?
10,000 or less
1.2%
10,001 – 25,000
1.9%
25,001 – 50,000
4.4%
50,001 – 100,000
9.9%
100,001 – 250,000
15.6%
250,001 – 500,000
20.5%
500,001 – 1 million
22.8%
Over 1 million
23.7%
Source: Merritt Hawkins 2015 Survey of Final-Year Medical Residents
While having many individual counties that are medically underserved, Texas overall has a ratio of
approximately 183 active patient care physicians per 100,000 population, which is considerably lower
than the national ratio of 226 physicians per 100,000 population. Texas ranks 41 st out of 50 states in
physicians per population (see chart below):
Physicians per 100,000 Population/Texas and U.S.
Texas
Texas Rank
United States
nd
182.6
41
225.6
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Source: Association of American Medical Colleges 2013 State Physician Workforce Data Book
Rural and Urban Access Issues
Illustrating the dual nature of Texas’ physician workforce, the ratio of physicians-per-population is about
the same or higher than the national average in four of Texas’ five most populous counties , with Bexar
County an exception (see chart below).
Physicians per 100,000 Population in the Five Most Populous Counties in Texas
Harris County
Dallas County
Tarrant County
Bexar County
Travis County
222
239
264
168
275
By contrast, in Texas counties of 40,000 people or fewer, there is an average of 52 physicians per
100,000 population, just 28% of the overall Texas average and 23% of the national average.
However, even urban areas in Texas have generally fewer physicians per population than cities in other
states that have large urban centers (see chart below).
Active Physicians per 100,000 Population for Various Large Cities
City or State
Boston
Massachusetts
Philadelphia
Washington, D.C.
Seattle
Portland
New York
Maryland
Connecticut
Rhode Island
Denver
San Diego
Detroit
Minneapolis
Los Angeles
Miami
Houston
Atlanta
Dallas/Fort Worth
Texas
United States
Physicians per 100,000
450.1
324
322.4
320.1
297.8
297.6
288
285
281
279
271.9
270.2
268.1
264.1
253.9
253.7
235.2
212.5
197.2
182.6
225.6
Source: American Medical Association Physician Master File
18 | P a g e
Texas therefore must be considered a physician shortage state, though it includes four large counties in
which physician-to-population ratios are at or above the national average. However, even within these
counties, physician access issues exist.
A 2013 study sponsored by Parkland Hospital and the Dallas County health department indicates
physician-to-population ratios vary dramatically within Dallas County, with a preponderance of
physicians located in more affluent areas of the county and few doctors located in less affluent areas
(see chart below):
Primary Care Physicians per 100,000 Population/Dallas County
Stemmons Corridor
South Dallas
Northeast Dallas
North Dallas
Outer Northwest
Northwest Dallas
Southeast Dallas
Irving
Southwest Dallas
Cedar Hill
Desoto/Lancaster
Grand Prairie
Wilmer-Hutchins/Seagoville
252
113
104
101
71
68
54
42
36
32
26
24
5
Source: Horizons. The Dallas County Community Health Needs Assessment, 2013.
Less affluent residents in these counties may have difficulty accessing a physician based on the location
of physician offices, lack of transportation to these offices, inability to afford health insurance, or
inability to afford co-pays and deductibles. Physician access in Texas is therefore not divided strictly
between urban/suburban and rural areas, but is also a function of economic status. The chart below
indicates the number of people by state who did not access a physician based on financial limitations in
the prior 12 months.
Residents Who Did Not See a Physician in Past 12 Months
Due to Financial Constraints
21.7%
10.5%
1 Mississippi
46 Iowa
21.2%
10.0%
2 Arkansas
47 Vermont
Texas
20.9%
Hawaii
9.3%
3
48
20.8%
4 Florida
49 Massachusetts 9.2%
20.5%
5 South Carolina
50 North Dakota 8.1%
Source: Kaiser State Health Facts, Kaiser Commission on Medicaid and the Uninsured analysis of the
Centers for Disease Control and Prevention’s BRFSS 2012 survey results.
Texas has the third highest number of residents who are impeded from seeing a physician based on
personal financial constraints.
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HEALTH PROFESSIONALS SHORTAGE AREAS (HPSAs)
Physician access within individual states, counties and smaller service areas is tracked by the federal
Health Resources and Services Administration (HRSA) though Health Professional Shortage Area (HPSA)
designations. A whole county or smaller service area is designated as a primary care HPSA if it falls
below a ratio of one primary care physician per 3,500 population, a mental health HPSA if it falls below
one psychiatrist per 30,000 population, and a dental HPSA if it falls below one dentist per 5,000
population.
Source: Bureau of Clinician Recruitment and Service, Health Resources and Services Administration (HRSA), U.S.
Department of Health & Human Services
The chart below shows the total number of primary care, mental health and dentistry HPSAs in the U.S.
and Texas and the number of health professionals required to remove the HPSA designations.
Primary Care Health Professional Shortage Areas
United States
Texas
Total Primary Care HPSA
Designations
6,087
Percent of Need Met
60.41%
Practitioners Needed to Remove
HPSA Designation
8,073
375
71.06%
514
Dental Care Health Professional Shortage Areas
United States
Texas
Total Dental Care HPSA
Designations
4,878
Percent of Need Met
40.79%
Practitioners Needed to Remove
HPSA Designation
7,208
240
63.72%
349
Mental Health Care Health Professional Shortage Areas
United States
Texas
Total Mental Health Care HPSA
Designations
3,968
Percent of Need Met
50.91%
Practitioners Needed to Remove
HPSA Designation
2,707
333
46.75%
193
*U.S. totals include data from the territories.
Source: Bureau of Clinician Recruitment and Service, Health Resources and Services Administration (HRSA), U.S.
Department of Health & Human Services, HRSA Data Warehouse: Designated Health Professional Shortage Areas
Statistics, as of April 28, 2014
A complete list of the all the HPSA designated counties and service areas in Texas for primary care,
mental health and dental health is included in Appendix A of this report.
As the chart above indicates, it will require 514 additional primary care physicians practicing in the
appropriate areas to remove all Texas primary care HPSAs, 193 additional psychiatrists to remove all
Texas mental health HPSAs, and 349 additional dental professionals to remove all Texas dental health
HPSAs.
It should be noted that removing these designations would not necessarily provide the optimal number
of physicians in current HPSA designated areas or ensure reasonable access to physician services.
Determining the optimal number of physicians a given area needs is difficult as there is no set standard
20 | P a g e
or metric for the ideal number of physicians needed to provide accessible, quality care to all population
groups.
Merritt Hawkins therefore prefers to follow Dr. Cooper’s model of determining physician community
requirements based on the number of physicians by specialty that similarly sized and economically
comparable communities have historically been able to sustain. Given this model, the number of
physicians required in Texas is considerably higher than the number needed to remove primary care and
mental health HPSA designations.
To achieve the national ratio of 226 physicians per 100,000
population now sustained by the overall population of the United States, Texas would need 12,819
additional physicians.
It should be further noted that the Texas HPSA designated areas listed in Appendix A include many areas
within the largest counties in Texas. Dallas County, for example, includes 15 healthcare facilities
designated as HPSAs as well as population groups within West Dallas, Irving, South Dallas, Grand Prairie
and other areas. The other largest counties include similarly designated facilities and areas. Nationally,
33% of HPSAs are in non-rural areas, indicating, as referenced above, that physician maldistribution is
present in both rural and non-rural areas.
The Texas Physician Education Loan Repayment Program
The Physician Education and Loan Repayment Program (PELRP), administrated by the Texas Education
Coordinating Board, is one avenue by which avenue by which physician supply in HPSAs may be
increased. The PELRP provides up to $160,000 in education loan repayments to physicians over four
years. For physicians with loan indebtedness of at least $160,000 or more, payments are structured as
follows:
First year: $25,000
Second year: $35,000
Third year: $45,000
Fourth year: $55,000
First preference is given to physicians practicing primary care in a Texas HPSA and second preference is
given to physicians practice specialty care in a Texas HPSA.
PELRP was substantially defunded by the Texas Legislature for a period of two years and was not
accepting loan applications from physicians during that time. However, it now has funding for a twoyear period for approximately 200 loans based on the first and second year amounts cited above as is
accepting applications. If PELRP continues to maintain funding it may prove to be one method of more
evenly distributing physicians throughout the state of Texas and of attracting physicians from out of
state.
A GROWING SUPPLY OF PHYSICIANS
Though Texas faces considerable physician supply and access challenges, a positive trend is that the
physician workforce in Texas is growing and exceeding population growth, which is unusual by national
standards. Between 1987 and 2007, the U.S. population grew by 24% but the number of U.S. trained
21 | P a g e
physicians added to the workforce grew by only 8% (New Medical Schools Open but Physician Shortages
Persist. American Medical News. March 29, 2010)
By contrast, total physician supply in Texas has grown from approximately 34,000 physicians in 2004 to
46,953 physicians in 2014, a growth rate of approximately 35% (see chart below). In the same period,
the general population in Texas grew from 22,490,022 to 26,956,958, a growth rate of 20%.
Total Physician Supply in Texas, 2003-2015 (All years rounded except 2014)
2004
33,000
2005
37,000
2007
39,000
2009
40,000
2011
42,000
2014
46,953
Source: Health Professions Resource Center, Department of State Health Services/Texas Medical
Association
Many physicians newly licensed in Texas have been attracted from out of the state. Three of four newly
licensed physicians in Texas are graduates of medical schools located outside of the state (Report of
Committee on Physician Distribution and Health Care Access, Texas Medical Association, June 2015). In
2003, Texas elected to put a cap of $250,000 on non-economic damages per medical malpractice
defendant. Before the cap, the average medical malpractice award in Texas was $1.2 million – it
subsequently decreased to $880,000 (The Wall Street Journal, May 19, 2008). Partly as a result,
numerous physicians from out of state flocked to Texas -- some 7,000 in the three years following
passage of tort reform, swamping the state with requests for licenses. An expanding economy has also
been a magnet drawing physicians to Texas.
Nevertheless, physician shortages persist, and Texas is addressing this issue by growing the number of
medical school graduates it produces. In 2006, the Association of American Medical Colleges (AAMC)
called for a 30% increase in medical school enrollment nationally. Texas met that goal in 2011, well
ahead of the AAMC’s national target date of 2015, and the projected achievement date for the nation of
2017 (see chart below).
Medical School Entering Class for Texas, 2000-2013
2000
1767
Enrollments
1700
1400
1,274
1100
800
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
500
Year
Source: Texas Higher Education Coordinating Board/Texas Medical Association 2014
22 | P a g e
Following is a breakdown of physicians per county in Texas in 2004 and 2014, showing rate of growth or
decline.
Physician Population per County % Increase/Decrease
County
Anderson
Andrews
Angelina
Aransas
Archer
Armstrong
Atascosa
Austin
Bailey
Bandera
Bastrop
Baylor
Bee
Bell
Bexar
Blanco
Borden
Bosque
Bowie
Brazoria
Brazos
Brewster
Briscoe
Brooks
Brown
Burleson
Burnet
Caldwell
Calhoun
Callahan
Cameron
Camp
Carson
Cass
Castro
Chambers
Cherokee
Childress
Physicians- 2004
40
11
115
9
7
0
20
9
4
10
27
2
10
564
3,268
6
0
7
191
328
323
8
2
0
44
7
49
14
12
4
373
4
0
7
1
4
36
7
Physicians- 2014
39
10
121
6
7
0
25
8
3
10
28
3
11
917
4,808
6
0
8
201
601
439
12
1
0
37
6
51
13
15
5
436
5
0
9
3
5
33
7
% increase/decrease
-3%
-9%
5%
-33%
0%
25%
-11%
-25%
0%
4%
50%
10%
63%
47%
0%
14%
5%
83%
36%
50%
-50%
-16%
-14%
4%
-7%
25%
25%
17%
25%
29%
200%
25%
-8%
0%
23 | P a g e
Clay
Cochran
Coke
Coleman
Collin
Collingsworth
Colorado
Comal
Comanche
Concho
Cooke
Coryell
Cottle
Crane
Crockett
Crosby
Culberson
Dallam
Dallas
Dawson
De Witt
Deaf Smith
Delta
Denton
Dickens
Dimmit
Donley
Duval
Eastland
Ector
Edwards
El Paso
Ellis
Erath
Falls
Fannin
Fayette
Fisher
Floyd
Foard
Fort Bend
Franklin
Freestone
3
0
1
2
1,466
0
14
175
6
0
17
17
0
2
0
2
2
0
4,043
2
5
5
1
680
1
3
1
0
5
128
0
804
99
36
7
11
20
1
4
0
838
4
7
3
0
1
4
2,237
1
15
226
6
0
18
22
0
1
0
2
1
0
5,924
4
8
8
1
958
1
4
1
0
6
180
0
1,134
119
43
7
8
19
2
4
0
1,412
4
8
0%
0%
100%
53%
100%
7%
29%
0%
6%
29%
-50%
0%
-50%
47%
100%
60%
60%
0%
41%
0%
33%
0%
20%
41%
41%
20%
19%
0%
-27%
-5%
100%
0%
68%
0%
14%
24 | P a g e
Frio
Gaines
Galveston
Garza
Gillespie
Glasscock
Goliad
Gonzales
Gray
Grayson
Gregg
Grimes
Guadalupe
Hale
Hall
Hamilton
Hansford
Hardeman
Hardin
Harris
Harrison
Hartley
Haskell
Hays
Hemphill
Henderson
Hidalgo
Hill
Hockley
Hood
Hopkins
Houston
Howard
Hudspeth
Hunt
Hutchinson
Irion
Jack
Jackson
Jasper
Jeff Davis
Jefferson
Jim Hogg
4
4
476
0
70
0
2
9
14
148
225
8
86
11
1
5
1
4
14
6,489
37
4
2
119
2
52
631
12
11
37
21
12
29
0
48
5
0
3
1
18
1
392
1
4
6
793
0
62
0
1
6
14
166
271
7
101
15
1
8
1
5
18
9,605
45
5
1
144
4
56
763
17
15
45
22
10
26
0
52
9
0
3
2
18
1
394
0
0%
50%
67%
-11%
-50%
-33%
0%
12%
20%
-13%
17%
36%
0%
60%
0%
25%
29%
48%
22%
25%
-50%
21%
100%
8%
21%
42%
36%
22%
5%
-17%
-10%
8%
80%
0%
100%
0%
0%
1%
-100%
25 | P a g e
Jim Wells
Johnson
Jones
Karnes
Kaufman
Kendall
Kenedy
Kent
Kerr
Kimble
King
Kinney
Kleberg
Knox
La Salle
Lamar
Lamb
Lampasas
Lavaca
Lee
Leon
Liberty
Limestone
Lipscomb
Live Oak
Llano
Loving
Lubbock
Lynn
Madison
Marion
Martin
Mason
Matagorda
Maverick
McCulloch
McLennan
McMullen
Medina
Menard
Midland
Milam
Mills
18
87
5
2
42
82
0
1
99
1
0
0
14
1
1
76
3
13
15
2
2
29
7
0
1
16
0
544
3
2
1
1
1
20
17
4
326
1
17
0
180
6
1
18
96
6
5
51
113
0
0
103
2
0
0
17
1
1
80
4
14
11
6
3
29
9
0
0
16
0
755
4
2
1
1
1
16
22
4
424
0
14
0
230
4
0
0%
10%
20%
150%
21%
38%
-100%
4%
100%
21%
0%
0%
5%
33%
8%
-27%
200%
50%
0%
29%
-100%
0%
39%
33%
0%
0%
0%
0%
-20%
29%
0%
30%
-100%
-18%
28%
-33%
-100%
26 | P a g e
Mitchell
Montague
Montgomery
Moore
Morris
Motley
Nacogdoches
Navarro
Newton
Nolan
Nueces
Ochiltree
Oldham
Orange
Palo Pinto
Panola
Parker
Parmer
Pecos
Polk
Potter
Presidio
Rains
Randall
Reagan
Real
Red River
Reeves
Refugio
Roberts
Robertson
Rockwall
Runnels
Rusk
Sabine
San Augustine
San Jacinto
San Patricio
San Saba
Schleicher
Scurry
Shackelford
Shelby
2
7
618
11
2
0
98
34
2
8
574
2
1
21
17
6
95
3
5
37
255
1
2
155
1
0
3
3
0
0
1
117
9
30
3
3
3
23
2
1
4
0
7
2
7
842
11
2
0
101
36
1
7
695
3
1
25
16
11
125
3
8
37
299
2
1
181
1
0
3
5
1
0
2
172
7
30
3
3
3
26
1
1
5
0
5
0%
0%
36%
0%
0%
3%
6%
-50%
-13%
21%
50%
0%
19%
-6%
83%
32%
0%
60%
0%
17%
100%
-50%
17%
0%
0%
67%
100%
100%
47%
-22%
0%
0%
0%
0%
13%
-50%
0%
25%
-29%
27 | P a g e
Sherman
Smith
Somervell
Starr
Stephens
Sterling
Stonewall
Sutton
Swisher
Tarrant
Taylor
Terrell
Terry
Throckmorton
Titus
Tom Green
Travis
Trinity
Tyler
Upshur
Upton
Uvalde
Val Verde
Van Zandt
Victoria
Walker
Waller
Ward
Washington
Webb
Wharton
Wheeler
Wichita
Wilbarger
Willacy
Williamson
Wilson
Winkler
Wise
Wood
Yoakum
Young
Zapata
0
551
8
11
3
0
1
4
2
2,425
202
0
4
1
31
171
2,233
2
4
10
1
17
25
11
146
45
3
1
33
173
37
3
201
10
6
449
17
1
45
17
3
13
1
0
680
9
12
3
0
1
4
2
3,205
249
0
6
2
33
210
3,078
2
5
14
1
21
29
10
160
42
4
1
37
188
35
0
237
9
7
796
21
1
51
21
2
14
5
23%
13%
9%
0%
0%
0%
0%
32%
23%
50%
100%
6%
23%
38%
0%
25%
40%
0%
24%
16%
-9%
10%
-7%
33%
0%
12%
9%
-5%
-100%
18%
-10%
17%
77%
24%
0%
13%
24%
-33%
8%
400%
28 | P a g e
Zavala
Texas Total
3
33,675
2
-33%
46,953
39%
Source: American Medical Association Physician Master File/MMS 2014
From 2004-2014, 24 counties in Texas (the majority of them small and rural) experienced a decline in
the number of physicians, while 71 experienced 25% or more growth in the number of physicians,
further highlighting the “have/have-not” quality of physician supply in the state.
Projected Physician Growth
By 2019, the general population in Texas is projected to increase from 26,448,193 to 29,244,491, a
growth rate of 11%. If the physician workforce in Texas continues to grow at the rate it has during the
previous five years (17%), it will total approximately 54,935 physicians by 2019. At that point, the ratio
of physicians in the state will increase from 183 per 100,000 population to 188 per 100,000 population,
still trailing the current national average and the average in 40 states.
THE STATE OF PRIMARY CARE
Primary care services are perceived to be in the greatest demand nationally. In 2010, the Association of
American Medical Colleges (AAMC) projected there would be 131,000 too few physicians by 2025,
including 65,000 too few in primary care. In March, 2015 the AAMC revised this projection to a
maximum shortage of 90,400 physicians by 2025, many of them (but not the majority) in primary care.
Below is a list of physicians by specialty in Texas, including those in primary care (considered in this
report to be general practice, family practice, internal medicine, and pediatrics) and those in other
specialty areas.
Texas Physicians by Specialty:
PHYSICIAN SPECIALTY
Abdominal Radiology
Abdominal Surgery
Addiction Medicine
Addiction Psychiatry
Adolescent Medicine-IM
Adolescent Medicine-Peds
Adult Cardiothoracic Anesthesiology
Advanced Heart Failure and Transplant Cardiology
Advanced Surgical Oncology
Aerospace Medicine
Allergy
Allergy & Immun/diag Lab
Allergy & Immunology
Anatomic Pathology
Anesthesiology
COUNT OF PHYSICIANS
18
2
4
23
1
38
67
3
8
49
7
2
265
40
2,903
29 | P a g e
Anesthesiology/pain Management
Blood Banking
Cardiothoracic Radiology
Cardiovascular Disease
Child Abuse Pediatrics
Child Neurology
Child Psychiatry
Clinical Genetics
Clinical Molecular Genetics
Clinical Neurophysiology
Clinical Pathology
Colon & Rectal Surgery
Congenital Cardiac Surgery (Thoracic Surgery)
Cosmetic Surgery
Craniofacial Surgery
Critical Care – Anesthesiology
Critical Care – Pediatric
Critical Care Medicine
Critical Care Surgery
Dermatologic Surgery
Dermatology
Dermatopathology
Developmental - Behavioral Pediatrics
Diabetes
Diagnostic Radiology
Emergency Medical Services
Emergency Medical Toxicology
Emergency Medicine
Emergency Medicine/Family Medicine
Emergency/sports Medicine
Endocrinology
Endovascular Surgical Neuroradiology
Endovascular Surgical Neuroradiology (Neurology)
Epilepsy
Facial Plastic Surgery
Family Medicine/Preventive Medicine
Family Prac/sports Medicine
Family Practice
Family Practice/geriatric Med
Female Pelvic Medicine & Reconstructive Surgery
Female Pelvic Medicine and Reconstructive Surgery
Forensic Pathology
Forensic Psychiatry
109
49
1
1,027
2
97
468
3
1
113
15
120
6
9
7
56
158
95
101
11
630
70
15
2
1,421
2
20
2,283
1
3
324
2
1
1
23
1
115
6,228
70
2
3
53
23
30 | P a g e
Gastroenterology
General Practice
General Preventive Medicine
General Surgery
Geriatric Psychiatry
Gynecological Oncology
Gynecology
Hand Surgery
Hand Surgery (Plastic Surgery)
Hand Surgery (Surgery)
Hand Surgery/orthopedic Surg
Head & Neck Surgery
Hematology
Hematology/oncology
Hematology/pathology
Hepatology
Hospice & Palliative Medicine
Hospice & Palliative Medicine (Family Medicine)
Hospice & Palliative Medicine (Internal Medicine)
Hospitalist
Im - Cardiac Electrophysiology
Immunology
Infectious Diseases
Internal Medicine
Internal Medicine - Emergency Medicine
Internal Medicine - Family Practice
Internal Medicine - Geriatrics
Internal Medicine - Neurology
Internal Medicine - Pediatrics
Internal Medicine - Preventive Medicine
Internal Medicine - Psychiatry
Internal Medicine - Sports Med
Interventional Cardiology
Legal Medicine
Maternal & Fetal Medicine
Medical Biochemical Genetics
Medical Genetics
Medical Management
Medical Microbiology
Molecular Genetic Pathology
Musculoskeletal Radiology
Neonatal-Perinatal Medicine
Nephrology
730
139
112
1,437
68
24
58
68
13
7
55
10
51
425
94
7
43
1
2
43
116
5
393
5,429
4
2
222
1
253
8
3
3
269
5
29
2
46
4
7
16
8
381
714
31 | P a g e
Neurodevelopmental Disabilities
Neurological Surgery
Neurology
Neuromuscular Medicine
Neuropathology
Neuropsychiatry
Neuroradiology
Nuclear Medicine
Nuclear Radiology
Nutrition
Obstetric Anesthesiology
Obstetrics
Obstetrics & Gynecology
Occupational Medicine
Oncology
Ophthalmic Plastic and Reconstructive Surgery
Ophthalmology
Ophthalmology/pediatrics
Oral And Maxillofacial Surgery
Orthopaedic Surgery Of Spine
Orthopedic Adult Recon Surgery
Orthopedic Musculo Oncology
Orthopedic Pediatric Surgery
Orthopedic Sports Medicine
Orthopedic Surgery
Orthopedic Surgery - Trauma
Orthopedics (foot & Ankle)
Osteopathic Manipulative Medicine
Other Specialty
Otolaryngology
Otology - Neurotology
Pain Management
Pain Medicine
Pain Medicine (Neurology)
Pain Medicine (Physical Med & Rehab)
Palliative Medicine
Pathology - Anatomic/clinical
Pathology - Chemical
Pathology - Cytopathology
Pediatric Allergy
Pediatric Anesthesiology
Pediatric Cardiology
Pediatric Cardiothoracic Surgery
7
312
658
13
25
2
233
57
9
5
2
7
2,598
103
332
1
951
8
35
67
21
8
47
124
1,016
13
7
5
66
553
8
49
152
1
4
11
732
2
96
3
146
166
5
32 | P a g e
Pediatric Dermatology
Pediatric Emergency Medicine-EM
Pediatric Emergency Medicine-Peds
Pediatric Endocrinology
Pediatric Gastroenterology
Pediatric Hematology Oncology
Pediatric Infectious Diseases
Pediatric Nephrology
Pediatric Neurological Surgery
Pediatric Otolaryngology
Pediatric Pathology
Pediatric Pulmonology
Pediatric Radiology
Pediatric Rehab Medicine
Pediatric Rheumatology
Pediatric Sports Medicine
Pediatric Surgery
Pediatric Transplant Hepatology
Pediatric Urology
Pediatrics
Pediatrics - Emergency Medicine
Pediatrics - Medical Genetics
Pediatrics - Psychiatry
Pediatrics/Physical Medicine and Rehabilitation
Pharmacology - Clinical
Phlebology
Physical Medicine & Rehab
Plastic Surgery
Plastic Surgery - Head & Neck
Plastic Surgery Integrated
Procedural Dermatology
Psychiatry
Psychiatry - Family Practice
Psychiatry - Neurology
Psychoanalysis
Psychosomatic Medicine
Public Health/genl Prevent Med
Pulmonary Critical Care Med.
Pulmonary Disease
Radiation Oncology
Radiology
Reproductive Endocrinology
Rheumatology
2
9
109
80
81
189
60
53
6
26
32
68
75
5
18
7
87
2
25
3,500
3
2
6
1
2
8
546
470
1
2
19
1,464
2
1
5
7
24
425
172
274
96
39
285
33 | P a g e
102
77
2
19
3
22
233
1
15
14
16
3
11
78
18
518
204
30
160
1
46,953
Selective Pathology
Sleep Medicine
Sleep Medicine (Psych & Neurology)
Spinal Cord Injury
Sports Medicine (Physical Medicine & Rehab)
Surgical Oncology
Thoracic Surgery
Transitional Year
Transplant Hepatology (Internal Medicine)
Transplant Surgery
Traumatic Surgery
Undersea and Hyperbaric Medicine-EM
Undersea Medicine
Unspecified Specialty
Urgent Care Medicine
Urological Surgery
Vascular & Interventional Rad
Vascular Neurology
Vascular Surgery
Vascular Surgery- Integrated
TOTAL RECORDS
Primary Care | 15,296 (67.5%)
Specialists | 31,657 (32.5%)
Source: American Medical Association Physician Master File/ MMS 2014
The charts below indicate how the percent of primary care physicians in Texas’ service area differs from
the national physician workforce.
Primary Care Physicians (PCPs) vs. Specialists in Texas and the U.S.
United States
All Texas Counties
35%
65%
PCPs
32.5%
66.5%
Specialists
PCPs
Specialists
34 | P a g e
Top 5 Metro Counties
Bexar, Dallas, Harris, Tarrant, Travis
Remaining Counties
28%
39%
61%
72%
PCPs
Specialists
PCPs
Specialists
Source: SK&A, 2014
As the charts illustrate, 32.5% of physicians in Texas are in primary care, compared to 35% nationally,
and only 28% of physicians in the top five metro counties in Texas are in primary care. Texas ranks 47th
in the nation in PCPs per 100,000 population, and is particularly top heavy in specialty care in urban
areas.
Active Primary Care Physicians per 100,000 Population by State
115.0
65.7
1 Vermont
46 Idaho
110.9
63.3
2 Massachusetts
47 Texas
112.2
62.6
3 Maine
48 Nevada
New
Hampshire
100.6
Utah
60.6
4
49
98.5
58.8
5 Rhode Island
50 Mississippi
Source: 2013 State Physician Workforce Data Book. Association of American Medical Colleges.
Nationally, there are 80.7 PCPs per 100,000 population.
population.
In Texas, there are 63.3 PCPs per 100,000
Texas will be challenged in “growing its own” primary care physicians, as the state ranks 37th in the
country in percent of residents and fellows in primary care graduate medical education programs (see
chart below):
Primary Care Residents and Fellows per 100,000 Population
32.7
6.4
1 New York
46 Mississippi
30.0
6.1
2 Rhode Island
47 Nevada
26.1
4.7
3 Massachusetts
48 Idaho
Connecticut
24.2
Alaska
4.6
4
49
21.2
1.9
5 Pennsylvania
50 Montana
9.2
United States
13.6
37 Texas
Source: 2013 State Physician Workforce Data Book. Association of American Medical Colleges
35 | P a g e
To maintain or increase PCP to population ratios in Texas, more PCPs will need to be trained in the state,
and those practicing in other states will have to be recruited.
A SHORTAGE OF SPECIALISTS
Though Texas has relatively high ratio of specialists to primary care physicians, this is not to suggest that
there is an adequate supply of medical specialists in the state.
Texas ranks below U.S. averages for physicians per 100,000 population for 36 out of 40 major medical
specialties, including 33 non-primary care specialties. The chart below shows some of the specialties in
which Texas is deficient relative to national averages.
Texas Ratio of Physicians per 100,000 pop. As a % of U.S. Ratio
Family medicine
Internal medicine
Pediatrics
Emergency medicine
Pulmonary disease
Cardiovascular disease
Child and adolescent psychiatry
Psychiatry
Vascular medicine
87.6%
75.1%
75.1%
75.9%
73.8%
76.0%
68.8%
58.2%
43.0%
Source: Report of Committee on Physician Distribution and Healthcare Access. Texas Medical
Association, June 2014
The only four specialties out of 40 referenced in the Texas Medical Association report cited above in
which Texas is above national per capita numbers are aerospace medicine, medical genetics, transplant
surgery and colon and rectal surgery.
In addition to having fewer specialists per capita than national averages, specialists are unevenly
distributed in Texas. As outlined above, many Texas counties lack a single general surgeon, psychiatrist
or obstetrician, though they may have the necessary population to sustain these and other specialty
practices.
Attrition among the ranks of specialists also will be a growing concern in Texas and nationally, as
physicians in many specialty areas are older on average than physicians in primary care (see chart
below):
Physicians 55 and Older By Specialty
Specialty
Pulmonology
Oncology
Psychiatry
Cardiology
Orthopedic surgery
55 or older
73%
66%
60%
54%
52%
36 | P a g e
Neurology
General surgery
Urology
50%
48%
48%
Primary Care
Internal Medicine
Family Practice
Pediatrics
40%
38%
38%
Source: AMA Physician Master File, June 2014
In general, older patients have a more pronounced need for medical specialists than do younger
patients, as specialists treat the diseases and other medical conditions associated with old age. The
Texas population is relatively younger than the U.S. population, somewhat inhibiting the need for
specialists; nevertheless it includes over 2.9 million people who are 65 years old or older, many of them
concentrated in rural counties.
PHYSICIAN RETENTION IN TEXAS
On a positive note, Texas retains a relatively high number of the physicians it educates and trains.
Texas ranks second in the nation in retaining medical school graduates, trailing only California, and ranks
fifth in retention of physicians completing medical residency (see charts below):
Physicians Retained From Undergraduate Medical Education
1
2
3
4
5
California
Texas
Arkansas
Mississippi
Hawaii
62.4%
59.4%
58.4%
54.4%
52.8%
Physicians Retained From Graduate Medical Education
1
2
3
4
5
California
Alaska
Montana
Florida
Texas
69.5%
67.8%
63.3%
58.7%
57.9%
Source: State Physician Workforce Data Book. Association of American Medical Colleges. 2013
Though Texas ranks high in terms of retention of physicians educated and trained in the state, it should
be considered that the ability of the physician graduate medical education system in Texas to train more
physicians is limited. The State of Texas will spend $32.8 million to finance nearly 6,500 medical
residency positions in 2014-15, according to the Texas Higher Education Board, but it will be challenged
to continue retaining these physicians, as the chart below illustrates.
37 | P a g e
Medical School Graduates and Residency Positions/ Texas/2013
Entry level GME positions/allopathic
Entry level GME positions/osteopathic
Medical school graduates
1,568
43
1,587
Source: Association of American Medical Colleges/Texas Medical Association
As the numbers above show, in 2013, there were only 24 more residency positions in Texas than there
were medical school graduates. These residency positions can also be matched with medical graduates
from medical schools in other states and with graduates of international medical schools. The Texas
Higher Education Coordinating Board recommends a ratio of residency positions that is 10% higher than
the number of medical school graduates in a given state, which would require the addition of 135
additional GME positions in Texas as of 2013 and 589 positions by 2022. (Report of Committee on
Physician Distribution and Health Care Access. Texas Medical Association, June 2014)
At present, three new medical schools are being added in Texas, including the University of Texas at
Austin Dell School of Medicine and the South Texas School of Medicine in McAllen and Harlingen, which
will admit a total of 100 new allopathic medical students in 2016. The University of the Incarnate Word
in San Antonio, a new private medical school, will admit its first class of 150 osteopathic medical
students, also in 2016. With projected expansion of medical schools planned by Texas Tech University
and Texas A&M University, the combined increase to the class size for the state by 2018 will be 320
students. Texas will then have 12 medical schools (Report of Committee on Physician Distribution and
Health Care Access. Texas Medical Association, June 2014).
However, no corresponding increase in the number of residency programs is planned, and this will be a
key challenge to maintaining adequate physician supply in the state.
DIVERSITY CHALLENGES
Health policy planners and the academic medical establishment are striving to achieve diversity in the
physician workforce so that it more closely mirrors the ethnic composition of the general population.
Following is a breakdown of the ethnic composition of the physician workforce in the U.S. and Texas, as
well as a breakdown of the general population in the U.S. and in Texas.
The Physician Workforce by Ethnic Composition/ U.S. and Texas
United States
Anglo
77.9%
Black
4.2%
Hispanic
4.6%
Asian*
12.5%
Other
0.8%
Asian
14.2%
Other
N/A
Texas
Anglo
72.9%
Black
3.9%
Hispanic
8.7%
38 | P a g e
Source: Health Professions Resource Center, Center for Health Statistics, Texas Department of State
Health Services, 2012
*Principally Asian, also Pacific Islander, Native American
General Population by Ethnic Composition/ U.S. and Texas
United States
Anglo
199,161,169
63%
Black
41,096,749
13%
Hispanic
41,096,749
17%
Other**
22,129,019
7%
Total Population
316,128,839
100%
Texas
Anglo
11,624,881
43%
Black
3,114,187
11%
Hispanic
10,740,456
40%
Other
1,682,418
6%
Total Population
27,1961,942
100%
Source: Texas Department of State Health Services 2014
**Principally Asian, also Pacific Islander, Native American
As these number indicate, the general population in Texas includes a considerably higher percent of
Hispanics than the general U.S. population, slightly fewer blacks, and a slightly higher number of Asians.
The physician workforce in Texas has approximately the same number of blacks as the national
physician workforce and a somewhat higher number of Asians than the national physician workforce.
However, the number of Hispanic physicians in Texas is about twice that of the national physician
workforce, 8.7% in Texas compared to 4.6% nationally.
Nevertheless, the number of Hispanic
physicians in Texas is not representative of the Hispanic population in the state, nor is the number of
black physicians in Texas representative of the black population. Both groups are significantly
underrepresented.
Asian physicians, by contrast, are overrepresented relative to the general
population of Asians in Texas.
As is the case with the physician workforce, ethnic diversity in Texas varies based on geographic
location. Following is an ethnic breakdown of the four most populous Metropolitan Statistical Areas in
Texas.
Texas’ Most Populous MSAs by Ethnic Composition
Dallas-Fort Worth-Arlington MSA
Anglo
3,301,969
47%
Black
1,035,759
15%
Hispanic
2,055,032
29%
Other
578,837
8%
Total Population
6,971,597
100%
39 | P a g e
Houston-The Woodlands-Sugar Land MSA
Anglo
2,378,560
37%
Black
1,075,378
17%
Hispanic
2,433,841
38%
Other
585,537
9%
Total Population
6,473,316
100%
Other
145,569
8%
Total Population
1,932,430
100%
Other
98,324
4%
Total Population
2,330,586
100%
Other
1,408,267
8%
Total Population
17,707,929
100%
Austin-Round Rock MSA
Anglo
1,017,821
53%
Black
131,876
7%
Hispanic
637,164
33%
San Antonio-New Braunfels MSA
Anglo
802,872
34%
Black
141,769
6%
Hispanic
1,287,621
55%
Total of Four MSAs
Anglo
7,501,222
42%
Black
2,384,782
14%
Hispanic
6,413,658
36%
Source: Texas Department of State Health Services 2014
The Dallas-Fort Worth-Arlington MSA, as defined by the Texas Department of State Health Services, has
a population of 6,971,597, or 25.7% of Texas’ overall population, and includes a higher number of blacks
than the Texas population (15% vs. 11%), though a lower number of Hispanics (29% vs. 40%), and a
slightly higher number of Asians (8% vs. 6%).
The Houston-The Woodlands-Sugar Land MSA has a population of 6,473,316, or 23.8% of Texas’
population, also with a higher percent of blacks than the Texas population (17% vs. 11%), a lower
number of Hispanics (38% vs. 40%) and a higher number of Asians (9% vs. 6%).
The Austin-Round Rock MSA has a population of 1,932,430, or 7.1% of Texas’ overall service population,
with a lower number of blacks than the Texas population (7% vs. 11%), a lower number of Hispanics
(33% vs. 40%), and a higher number of Asians (8% vs. 6%).
Lastly, the San Antonio-New Braunfels MSA has a population of 2,330,586, or 8.6% of Texas’ overall
service population, with a lower number of blacks than the Texas population (6% vs. 11%), a
considerably higher number of Hispanics (55% vs. 40%), and a greater number of Asians (8% vs. 6%).
Together these four MSAs have a population of 17,707,929, or 65.2% of the total population in Texas.
Just under 4% of Texas physicians are black, while 14% of the population in the state’s four most
40 | P a g e
populous MSAs are black. 8.7% of Texas physicians are Hispanic, while 36% of the population in the
state’s four most populous MSAs are Hispanic. 14.2% of Texas physicians are Asian while 8% of the
population in the state’s four most populous MSAs are Asian.
To achieve diversity, Texas will have to add considerably more black physicians, particularly to its largest
MSAs, while Hispanic physicians will need to be added throughout the state as they are more highly
represented outside the most populous MSAs than inside. There are approximately 3,800 Spanish
speaking physicians in Texas, or about 8.1% of the total physician population (AMA Physician Master
File). With Spanish-speaking residents representing a fast growing segment, more Spanish speaking
doctors will be required to meet the needs of this culturally diverse population.
A GROWING DEMAND FOR PHYSICIANS
In addition to low physician-to-population ratios, a geographic maldistribution of physicians, physician
retention challenges, and a need for greater diversity in the physician workforce, further challenges will
have to be addressed to ensure an adequate number of physicians in Texas. One of these challenges is
a rapidly growing demand for physician services in the state.
Texas experienced a population growth of 8 million people from 1990 to 2010 and led the nation in
population growth in both the 2000 and 2010 census.
The population will grow by 5 million more people by 2020, according to the U.S. Census Bureau.
In addition, there are over 2.9 million Texans who now are 65 years old or older and who are Medicare
eligible, while 5.7 million baby boomers in the state started to become eligible for Medicare in 2011.
Over 11% of the state’s population is composed of people 65 or older who are Medicare eligible,
compared to 14.1% of the U.S. population, so age-driven demand for doctors in Texas will be somewhat
less of a factor than in states with an older population.
However, population aging also is a regional issue within the state. In 23.5% of Texas’ 254 counties (the
majority of them small and rural), 20% or more of the population is 65 years old or older (see the chart
listing these counties on page 45). This will drive demand for physicians relatively higher in those areas
of the state that already have the most pronounced physician shortages. As the chart below indicates,
the Medicare eligible see a physician at a much higher rate than do younger people.
Annual Visits to Physician Offices by Age (Excludes Emergency Department Visits)
66 years old or older
6.0
46-66 years old
5.4
36-45 years old
2.4
24-35 years old
2.2
16-24 years old
1.5
0-15 years old
2.0
Average
3.4
Source: National Ambulatory Medical Care Survey/Centers for Disease Control
41 | P a g e
At the other end of the spectrum, physician need in Texas also will be driven by its high birth rate. Texas
has a birth rate of 15.4 per 1,000 population, the third highest in the country behind Alaska and Utah
(U.S. Census Bureau).
Disease Incidence and Demand for Doctors
Like the general population of the U.S., the Texas population is facing a wide range of health challenges.
Cancer Incidence per
100,000
Cancer Death Rate per
100,000
Percent of Adults Who
Have Hypertension
Percent of Adults Who
Have High Cholesterol
Has Cardiovascular
Disease
Heart Disease Death Rate
per 100,000
Adult Overweight/
Obesity Rate
Rank amongst all states
including D.C. (51). All
rankings based on the highest
rate to lowest rate.
Percent of Adults Who
Have Diabetes
United States
Texas
Diabetes Death Rate per
100,000
Eleven percent of Texas adults have been diagnosed with diabetes, 66% have been diagnosed as
overweight or obese, 38% have been diagnosed with high cholesterol, and 31% have been diagnosed
with hypertension (see chart below). Diabetes and obesity are particularly prevalent in Texas.
20.8
21.6
23
10%
11%
13
459
434.7
42
172.8
165.9
42
33%
31%
29
39%
38%
31
2%
2%
34
179.1
181.1
22
64%
66%
16
Source: Centers for Disease Control and Prevention (CDC), National Center for Health Statistics, Division of Vital
Statistics, National Vital Statistics Report Volume 61, Number 4, Table 19, May 8, 2013
Continued high rates of disease, driven by obesity, diabetes, and hypertension, in particular, will
accelerate the need for additional physicians in Texas.
Impact of Insurance Enrollment on Physician Demand in Texas
Demand for physician services is partly a function of the prevalence of health insurance coverage in a
community or service area. As the Massachusetts Medical Society has indicated in several studies,
Massachusetts has long physician appointment wait times (see Massachusetts Medical Society 2013
Patient Access to Care). Similarly, in its 2014 Survey of Physician Appointment Wait Times and Medicaid
and Medicare Acceptance Rates, Merritt Hawkins found that Boston has the highest physician
appointment wait times of 15 major metro areas (see chart on next page). This is largely due to the fact
that Massachusetts, including Boston, has achieved the highest rate of insurance coverage of any state,
driving up the demand for physician services.
42 | P a g e
Cumulative Average Wait Time in Days for a Physician Appointment in Five Specialties (Family
Practice, Dermatology, Obstetrics/Gynecology, Orthopedic Surgery, Cardiology)
Metro Area
Time to Appointment (Days)
Dallas
10.2
Los Angeles
12.2
Miami
13.6
Houston
14.0
Atlanta
14.0
Seattle
16.0
San Diego
16.2
New York
16.8
Washington, D.C.
17.8
Detroit
17.8
Minneapolis
19.2
Portland
19.4
Philadelphia
20.6
Denver
23.6
Boston
45.4
Total Cumulative Average ..................................... 18.5
Source: Merritt Hawkins 2014 Survey of Physician Appointment Wait Times
In contrast to Massachusetts, Texas ranks first in percent of population without health insurance (see
chart below).
Population without Health Insurance Coverage
1
2
3
4
5
Texas
Nebraska
Florida
Georgia
Alaska
United States
Texas Children
United States Children
22.1%
20.7%
20.0%
18.8%
18.5%
14.5%
16.0%
9.0%
Source: Health Insurance Coverage in the United States. U.S. Census. 2013
Demand for doctors in Texas is relatively inhibited for this reason, which helps explain why physician
appointment wait times listed above in Texas cities such as Dallas and Houston are comparatively short
even though these cities have fewer physicians per capita than most others on the list.
43 | P a g e
The chart below indicates health insurance coverage patterns in Texas.
Health Insurance in Texas
Employer
Other private
Medicaid
Medicare
Uninsured
46%
5%
15%
12%
22%
Source: Health Insurance Coverage in the United States. U.S. Census. 2013
ACA/State Exchanges
The Affordable Care Act (ACA) has increased insurance coverage in Dallas County, with the number of
uninsured patients believed to have dropped from 28% to 22% since the law went into effect (Poor Seek
Care in Medical Deserts. Dallas Morning News, January 18, 2015). The ACA also has increased the ranks
of the insured throughout other areas of Texas.
Since the first open enrollment period, Texas enrollment through ACA established State Insurance
Marketplaces/Exchanges grew to 733,757 between October 1, 2013 and April 19, 2014 (see chart below
for enrollee characteristics).
Characteristics of Texas State Insurance Exchange Enrollees
55% female | 45% male
38% under the age of 35
30% between the ages 18 and 34
67% selected a Silver plan | 23% selected a Bronze plan
84% selected a plan with financial assistance
Source: www.HHS.gov/Healthcare
The second open enrollment period began November 15, 2014, and thousands of additional Texans are
likely to be enrolled by the end this enrollment period.
Texas chose not to expand Medicaid through the ACA. Since the first ACA open enrollment period in
October, 2013, 134,363 Texans have gained Medicaid or Children’s Health Insurance Program (CHIP)
coverage. If Texas had expanded Medicaid, an additional 1,208,000 uninsured people would be able to
gain coverage (www.HHS.gov/Healthcare.com).
Though Texas chose not to expand Medicaid through the ACA, Medicaid patient access to physicians in
Texas grew at least temporarily as a result of the ACA, according to a New England Journal of Medicine
study. The ACA funded a Medicaid reimbursement raise to physicians beginning in 2013 and ending
December 31, 2014. Under this raise, Medicaid paid the same rate to family physicians, internists and
pediatricians as Medicare. The higher reimbursement was available in states that expanded Medicaid
and in those that did not.
44 | P a g e
The study found that the availability of primary care appointments for Medicaid patients increased by an
average of 8% in the ten states included in the study, and by 10% in Texas. Because Texas Medicaid
reimbursement rates are relatively low compared to other states, Texas physicians received a relatively
high pay hike of approximately 66%. (Medicaid Pay Hike Opened Doors for Patients, Study Finds. Kaiser
Health News. January 21, 2015). The pay raise was enough to persuade Texas doctors who see
Medicaid patients to schedule a greater number of such patients. However, the study did not examine
if the pay raise led more physicians in Texas and elsewhere to participate in the Medicaid program.
Now that Medicaid rates have been reduced, it can be presumed that Medicaid patient accessibility to
primary care physicians will decline.
PHYSICIAN PRACTICE PATTERNS/EFFECT ON ACCESS
The gross number of physicians practicing in a given service area is not the sole determinant of physician
supply and physician access in that area. How physicians choose to practice – the types of patients they
see, the number of patients they see, the hours they work, and related factors – also are important.
Physician practice patterns that affect patient access are reviewed below, beginning with Medicare and
Medicaid acceptance rates among Texas physicians. The charts below indicate the number of people in
Texas by county eligible for Medicare or Medicaid, the Texas counties where the Medicare eligible
population is at or exceeds 20%, and the Texas counties where the Medicaid eligible population is at or
exceeds 20%.
Eligible for Medicare/Medicaid by County in Texas
County
Population (2013)
Age 65+ %
Age 65+ Population
Poverty %
Poverty Population
Anderson
57,938
13.4%
7,764
20.3%
11,761
Andrews
16,799
10.0%
1,680
12.5%
2,100
Angelina
87,441
14.6%
12,766
19.3%
16,876
Aransas
24,356
26.3%
6,406
19.6%
4,774
Archer
8,681
17.9%
1,554
11.3%
981
Armstrong
1,949
21.1%
411
11.1%
216
Atascosa
47,093
13.8%
6,499
16.4%
7,723
Austin
28,847
17.3%
4,991
10.1%
2,914
Bailey
7,114
14.7%
1,046
13.0%
925
Bandera
20,601
23.9%
4,924
15.3%
3,152
Bastrop
75,825
13.4%
10,161
16.5%
12,511
Baylor
3,614
25.0%
904
15.4%
557
Bee
32,799
11.2%
3,673
22.2%
7,281
Bell
326,843
9.5%
31,050
15.3%
50,007
Bexar
1,817,610
11.0%
199,937
17.6%
319,899
Blanco
10,723
21.4%
2,295
9.3%
997
Borden
637
21.2%
135
0.9%
6
Bosque
17,855
23.3%
4,160
14.7%
2,625
Bowie
93,487
15.1%
14,117
19.7%
18,417
Brazoria
330,242
10.6%
35,006
11.2%
36,987
45 | P a g e
Brazos
203,164
8.1%
16,456
29.8%
60,543
Brewster
9,286
18.1%
1,681
12.4%
1,151
Briscoe
1,537
23.9%
367
18.6%
286
Brooks
7,237
17.8%
1,288
38.3%
2,772
Brown
37,749
18.9%
7,135
18.4%
6,946
Burleson
17,169
18.9%
3,245
15.0%
2,575
Burnet
43,823
20.7%
9,071
16.3%
7,143
Caldwell
39,232
12.9%
5,061
18.7%
7,336
Calhoun
21,806
15.8%
3,445
17.6%
3,838
Callahan
13,525
19.7%
2,664
15.2%
2,056
Cameron
417,276
12.0%
50,073
34.8%
145,212
Camp
12,413
16.9%
2,098
21.8%
2,706
Carson
6,010
17.0%
1,022
7.2%
433
Cass
30,331
20.9%
6,339
20.9%
6,339
Castro
8,030
13.6%
1,092
24.1%
1,935
Chambers
36,812
10.7%
3,939
9.7%
3,571
Cherokee
50,878
15.9%
8,090
24.5%
12,465
Childress
7,095
15.2%
1,078
15.9%
1,128
Clay
10,473
19.9%
2,084
10.3%
1,079
Cochran
3,016
14.9%
449
15.1%
455
Coke
3,210
26.4%
847
11.0%
353
Coleman
8,543
23.2%
1,982
27.6%
2,358
Collin
854,778
9.3%
79,494
7.8%
66,673
Collingsworth
3,099
17.2%
533
20.4%
632
Colorado
20,752
20.1%
4,171
16.6%
3,445
Comal
118,480
17.0%
20,142
10.2%
12,085
Comanche
13,623
22.8%
3,106
26.4%
3,596
Concho
4,043
15.3%
619
16.5%
667
Cooke
38,467
17.2%
6,616
14.8%
5,693
Coryell
76,192
8.5%
6,476
13.4%
10,210
Cottle
1,452
24.6%
357
15.4%
224
Crane
4,773
11.8%
563
13.8%
659
Crockett
3,807
14.7%
560
16.7%
636
Crosby
5,991
18.1%
1,084
26.5%
1,588
Culberson
2,277
15.9%
362
25.2%
574
Dallam
7,057
8.8%
621
18.1%
1,277
Dallas
2,480,331
9.5%
235,631
19.1%
473,743
Dawson
13,810
14.3%
1,975
21.9%
3,024
Deaf Smith
19,177
11.7%
2,244
18.9%
3,624
Delta
5,238
21.8%
1,142
17.9%
938
Denton
728,799
8.3%
60,490
8.7%
63,406
DeWitt
20,503
18.9%
3,875
13.5%
2,768
Dickens
2,291
20.3%
465
18.8%
431
46 | P a g e
Dimmit
10,897
14.2%
1,547
26.5%
2,888
Donley
3,522
21.7%
764
16.7%
588
Duval
11,640
17.1%
1,990
19.7%
2,293
Eastland
18,245
20.9%
3,813
19.0%
3,467
Ector
149,378
9.7%
14,490
15.9%
23,751
Edwards
1,884
24.5%
462
18.4%
347
El Paso
827,718
10.9%
90,221
23.3%
192,858
Ellis
155,976
11.5%
17,937
11.9%
18,561
Erath
39,658
13.5%
5,354
22.3%
8,844
Falls
17,493
16.6%
2,904
20.9%
3,656
Fannin
33,659
18.2%
6,126
17.2%
5,789
Fayette
24,821
23.3%
5,783
11.6%
2,879
Fisher
3,856
23.2%
895
17.1%
659
Floyd
6,230
18.1%
1,128
20.3%
1,265
Foard
1,277
25.2%
322
15.4%
197
Fort Bend
652,365
8.9%
58,060
8.9%
58,060
Franklin
10,660
20.0%
2,132
14.4%
1,535
Freestone
19,646
17.8%
3,497
15.6%
3,065
Frio
18,065
11.4%
2,059
24.0%
4,336
Gaines
18,921
9.6%
1,816
16.8%
3,179
Galveston
306,782
12.4%
38,041
13.3%
40,802
Garza
6,317
11.7%
739
15.5%
979
Gillespie
25,357
28.0%
7,100
12.0%
3,043
Glasscock
1,251
14.0%
175
4.2%
53
Goliad
7,465
20.3%
1,515
14.7%
1,097
Gonzales
20,312
15.8%
3,209
21.9%
4,448
Gray
23,043
15.4%
3,549
14.6%
3,364
Grayson
122,353
16.7%
20,433
15.7%
19,209
Gregg
123,024
13.9%
17,100
17.6%
21,652
Grimes
26,859
15.6%
4,190
19.1%
5,130
Guadalupe
143,183
12.7%
18,184
9.7%
13,889
Hale
35,764
12.5%
4,471
22.3%
7,975
Hall
3,239
23.0%
745
23.8%
771
Hamilton
8,310
25.6%
2,127
12.6%
1,047
Hansford
5,555
14.1%
783
17.0%
944
Hardeman
4,016
19.7%
791
26.6%
1,068
Hardin
55,417
14.7%
8,146
10.9%
6,040
Harris
4,336,853
9.0%
390,317
18.5%
802,318
Harrison
66,886
14.5%
9,698
16.0%
10,702
Hartley
6,100
14.3%
872
8.6%
525
Haskell
5,875
21.6%
1,269
18.9%
1,110
Hays
176,026
9.6%
16,898
17.0%
29,924
Hemphill
4,158
12.3%
511
11.7%
486
47 | P a g e
Henderson
78,675
20.5%
16,128
18.9%
14,870
Hidalgo
815,996
10.0%
81,600
34.8%
283,967
Hill
34,823
19.6%
6,825
17.0%
5,920
Hockley
23,530
13.5%
3,177
13.5%
3,177
Hood
52,905
23.6%
12,486
12.1%
6,402
Hopkins
35,565
16.8%
5,975
19.3%
6,864
Houston
22,911
20.6%
4,720
19.7%
4,513
Howard
36,147
12.6%
4,555
15.3%
5,530
Hudspeth
3,318
16.0%
531
44.1%
1,463
Hunt
87,048
15.2%
13,231
19.9%
17,323
Hutchinson
21,819
14.6%
3,186
15.8%
3,447
Irion
1,612
18.3%
295
8.7%
140
Jack
8,957
16.1%
1,442
16.7%
1,496
Jackson
14,591
16.7%
2,437
12.7%
1,853
Jasper
35,649
17.8%
6,346
17.8%
6,346
Jeff Davis
2,253
28.5%
642
7.4%
167
Jefferson
252,358
13.2%
33,311
21.0%
52,995
Jim Hogg
5,245
16.0%
839
14.0%
734
Jim Wells
41,680
13.8%
5,752
21.7%
9,045
Johnson
154,707
12.9%
19,957
12.0%
18,565
Jones
19,859
14.3%
2,840
18.5%
3,674
Karnes
15,081
14.2%
2,142
23.3%
3,514
Kaufman
108,568
11.5%
12,485
13.3%
14,440
Kendall
37,766
18.4%
6,949
9.3%
3,512
Kenedy
412
16.3%
67
32.8%
135
Kent
807
28.6%
231
8.6%
69
Kerr
49,953
26.3%
13,138
14.9%
7,443
Kimble
4,481
26.0%
1,165
19.5%
874
King
285
15.8%
45
5.9%
17
Kinney
3,586
25.0%
897
25.7%
922
Kleberg
32,101
12.2%
3,916
24.5%
7,865
Knox
3,767
21.1%
795
20.8%
784
La Salle
7,369
13.2%
973
21.7%
1,599
Lamar
49,426
18.1%
8,946
19.1%
9,440
Lamb
13,775
16.2%
2,232
22.1%
3,044
Lampasas
20,222
17.4%
3,519
16.9%
3,418
Lavaca
19,581
21.8%
4,269
8.3%
1,625
Lee
16,628
17.1%
2,843
12.4%
2,062
Leon
16,742
22.9%
3,834
17.7%
2,963
Liberty
76,907
12.5%
9,613
18.4%
14,151
Limestone
23,326
17.3%
4,035
21.5%
5,015
Lipsomb
3,485
13.9%
484
10.9%
380
Live Oak
11,867
19.6%
2,326
17.1%
2,029
48 | P a g e
Llano
19,444
33.2%
6,455
14.1%
2,742
Loving
95
9.5%
9
12.0%
11
Lubbock
289,324
11.6%
33,562
20.4%
59,022
Lynn
5,723
16.1%
921
20.2%
1,156
Madison
13,781
14.8%
2,040
25.2%
3,473
Marion
10,235
22.8%
2,334
23.2%
2,375
Martin
5,312
12.1%
643
15.8%
839
Mason
4,128
26.6%
1,098
13.6%
561
Matagorda
36,592
15.4%
5,635
21.1%
7,721
Maverick
55,932
11.1%
6,208
30.5%
17,059
McCulloch
8,330
21.4%
1,783
16.6%
1,383
McLennan
241,481
13.1%
31,634
22.0%
53,126
McMullen
764
22.6%
173
19.2%
147
Medina
47,399
15.1%
7,157
17.7%
8,390
Menard
2,148
29.3%
629
23.5%
505
Midland
151,468
10.3%
15,601
10.4%
15,753
Milam
24,167
19.1%
4,616
19.2%
4,640
Mills
4,907
24.4%
1,197
13.1%
643
Mitchell
9,402
13.4%
1,260
11.7%
1,100
Montague
19,503
20.9%
4,076
15.6%
3,042
Montgomery
499,137
11.7%
58,399
12.4%
61,893
Moore
22,141
10.2%
2,258
15.4%
3,410
Morris
12,834
20.3%
2,605
20.6%
2,644
Motley
1,196
27.8%
332
25.5%
305
Nacogdoches
65,330
12.6%
8,232
25.7%
16,790
Navarro
48,038
15.5%
7,446
21.1%
10,136
Newton
14,140
17.3%
2,446
16.1%
2,277
Nolan
15,037
17.0%
2,556
18.5%
2,782
Nueces
352,107
12.8%
45,070
18.4%
64,788
Ochiltree
10,806
10.2%
1,102
17.3%
1,869
Oldham
2,102
13.4%
282
14.2%
298
Orange
82,957
14.8%
12,278
14.4%
11,946
Palo Pinto
27,889
17.9%
4,992
18.5%
5,159
Panola
23,870
16.5%
3,939
12.7%
3,031
Parker
121,418
14.2%
17,241
10.9%
13,235
Parmer
9,965
12.4%
1,236
21.3%
2,123
Pecos
15,697
12.4%
1,946
16.7%
2,621
Polk
45,790
19.9%
9,112
20.2%
9,250
Potter
121,661
11.4%
13,869
23.1%
28,104
Presidio
7,201
20.2%
1,455
24.8%
1,786
Rains
11,065
23.1%
2,556
13.6%
1,505
Randall
126,474
13.3%
16,821
10.3%
13,027
Reagan
3,601
10.3%
371
9.5%
342
49 | P a g e
Real
3,350
27.7%
928
20.2%
677
Red River
12,470
22.6%
2,818
16.1%
2,008
Reeves
13,965
12.2%
1,704
21.9%
3,058
Refugio
7,305
20.9%
1,527
16.2%
1,183
Roberts
831
20.2%
168
3.0%
25
Robertson
16,486
18.0%
2,967
20.7%
3,413
Rockwall
85,245
11.2%
9,547
5.9%
5,029
Runnels
10,309
20.8%
2,144
21.9%
2,258
Rusk
53,622
15.0%
8,043
17.8%
9,545
Sabine
10,361
28.7%
2,974
25.8%
2,673
San Augustine
8,769
24.5%
2,148
26.4%
2,315
San Jacinto
26,856
19.3%
5,183
20.1%
5,398
San Patricio
66,137
13.8%
9,127
17.0%
11,243
San Saba
6,012
21.2%
1,275
15.2%
914
Schleicher
3,206
14.9%
478
22.8%
731
Scurry
17,302
13.7%
2,370
15.7%
2,716
Shackelford
3,375
18.4%
621
16.1%
543
Shelby
25,792
15.9%
4,101
22.1%
5,700
Sherman
3,093
13.9%
430
13.7%
424
Smith
216,080
15.2%
32,844
16.7%
36,085
Somervell
8,658
17.2%
1,489
9.3%
805
Starr
61,963
11.0%
6,816
39.2%
24,289
Stephens
9,247
18.8%
1,738
18.8%
1,738
Sterling
1,219
16.7%
204
15.1%
184
Stonewall
1,432
24.9%
357
16.6%
238
Sutton
4,006
15.7%
629
7.3%
292
Swisher
7,763
17.5%
1,359
23.1%
1,793
Tarrant
1,911,541
9.9%
189,243
15.2%
290,554
Taylor
134,117
13.7%
18,374
17.4%
23,336
Terrell
903
23.3%
210
10.0%
90
Terry
12,743
14.6%
1,860
14.0%
1,784
Throckmorton
1,600
25.3%
405
13.7%
219
Titus
32,581
12.7%
4,138
22.0%
7,168
Tom Green
114,954
14.4%
16,553
16.2%
18,623
Travis
1,120,954
8.1%
90,797
17.4%
195,046
Trinity
14,393
24.0%
3,454
16.1%
2,317
Tyler
21,464
20.3%
4,357
17.4%
3,735
Upshur
39,884
16.9%
6,740
15.8%
6,302
Upton
3,372
13.9%
469
17.1%
577
Uvalde
26,926
15.7%
4,227
26.5%
7,135
Val Verde
48,623
13.4%
6,515
22.1%
10,746
Van Zandt
52,481
19.5%
10,234
16.4%
8,607
Victoria
90,028
14.2%
12,784
16.9%
15,215
50 | P a g e
Walker
68,817
11.2%
7,708
26.0%
17,892
Waller
45,213
11.4%
5,154
20.4%
9,223
Ward
11,244
14.3%
1,608
20.4%
2,294
Washington
34,147
19.4%
6,625
14.9%
5,088
Webb
262,495
8.4%
22,050
31.4%
82,423
Wharton
41,216
15.4%
6,347
18.8%
7,749
Wheeler
5,751
17.1%
983
14.3%
822
Wichita
132,047
13.6%
17,958
15.6%
20,599
Wilbarger
13,131
16.5%
2,167
20.7%
2,718
Willacy
21,921
12.3%
2,696
40.0%
8,768
Williamson
471,014
10.4%
48,985
7.0%
32,971
Wilson
45,418
14.3%
6,495
11.5%
5,223
Winkler
7,606
11.2%
852
12.8%
974
Wise
60,939
14.0%
8,531
10.8%
6,581
Wood
42,306
26.4%
11,169
14.6%
6,177
Yoakum
8,184
11.9%
974
11.7%
958
Young
18,341
19.1%
3,503
16.0%
2,935
Zapata
14,390
11.2%
1,612
34.7%
4,993
Zavala
12,156
12.5%
1,520
35.0%
4,255
TOTAL
26,448,193
11.2%
2,962,198
17.6%
4,654,882
US TOTAL
316,128,839
14.10%
44,574,166
15.40%
48,683,841
Texas Counties with 20%+ Population Eligible for
Medicare
County
Age 65+ %
Llano
Population
(2013)
19,444
33.20%
Age 65+
Population
6,455
Menard
2,148
29.30%
629
Sabine
10,361
28.70%
Kent
807
28.60%
Jeff Davis
2,253
Gillespie
Texas Counties with 20%+ Population Eligible for
Medicaid
County
Poverty %
Hudspeth
Population
(2013)
3,318
44.10%
Poverty
Population
1,463
Willacy
21,921
40.00%
8,768
2,974
Starr
61,963
39.20%
24,289
231
Brooks
7,237
38.30%
2,772
28.50%
642
Zavala
12,156
35.00%
4,255
25,357
28.00%
7,100
Cameron
417,276
34.80%
145,212
Motley
1,196
27.80%
332
Hidalgo
815,996
34.80%
283,967
Real
3,350
27.70%
928
Zapata
14,390
34.70%
4,993
Mason
4,128
26.60%
1,098
Kenedy
412
32.80%
135
Coke
3,210
26.40%
847
Webb
262,495
31.40%
82,423
Wood
42,306
26.40%
11,169
Maverick
55,932
30.50%
17,059
Aransas
24,356
26.30%
6,406
Brazos
203,164
29.80%
60,543
Kerr
49,953
26.30%
13,138
Coleman
8,543
27.60%
2,358
Kimble
4,481
26.00%
1,165
Hardeman
4,016
26.60%
1,068
Hamilton
8,310
25.60%
2,127
Crosby
5,991
26.50%
1,588
Throckmorton
1,600
25.30%
405
Uvalde
26,926
26.50%
7,135
51 | P a g e
Foard
1,277
25.20%
322
Dimmit
10,897
26.50%
2,888
Baylor
3,614
25.00%
904
San Augustine
8,769
26.40%
2,315
Kinney
3,586
25.00%
897
Comanche
13,623
26.40%
3,596
Stonewall
1,432
24.90%
357
Walker
68,817
26.00%
17,892
Cottle
1,452
24.60%
357
Sabine
10,361
25.80%
2,673
Edwards
1,884
24.50%
462
Kinney
3,586
25.70%
922
San Augustine
8,769
24.50%
2,148
Nacogdoches
65,330
25.70%
16,790
Mills
4,907
24.40%
1,197
Motley
1,196
25.50%
305
Trinity
14,393
24.00%
3,454
Culberson
2,277
25.20%
574
Bandera
20,601
23.90%
4,924
Madison
13,781
25.20%
3,473
Briscoe
1,537
23.90%
367
Presidio
7,201
24.80%
1,786
Hood
52,905
23.60%
12,486
Cherokee
50,878
24.50%
12,465
Bosque
17,855
23.30%
4,160
Kleberg
32,101
24.50%
7,865
Fayette
24,821
23.30%
5,783
Castro
8,030
24.10%
1,935
Terrell
903
23.30%
210
Frio
18,065
24.00%
4,336
Coleman
8,543
23.20%
1,982
Hall
3,239
23.80%
771
Fisher
3,856
23.20%
895
Menard
2,148
23.50%
505
Rains
11,065
23.10%
2,556
Karnes
15,081
23.30%
3,514
Hall
3,239
23.00%
745
El Paso
827,718
23.30%
192,858
Leon
16,742
22.90%
3,834
Marion
10,235
23.20%
2,375
Comanche
13,623
22.80%
3,106
Swisher
7,763
23.10%
1,793
Marion
10,235
22.80%
2,334
Potter
121,661
23.10%
28,104
McMullen
764
22.60%
173
Schleicher
3,206
22.80%
731
Red River
12,470
22.60%
2,818
Erath
39,658
22.30%
8,844
Delta
5,238
21.80%
1,142
Hale
35,764
22.30%
7,975
Lavaca
19,581
21.80%
4,269
Bee
32,799
22.20%
7,281
Donley
3,522
21.70%
764
Lamb
13,775
22.10%
3,044
Haskell
5,875
21.60%
1,269
Shelby
25,792
22.10%
5,700
Blanco
10,723
21.40%
2,295
Val Verde
48,623
22.10%
10,746
McCulloch
8,330
21.40%
1,783
McLennan
241,481
22.00%
53,126
Borden
637
21.20%
135
Titus
32,581
22.00%
7,168
San Saba
6,012
21.20%
1,275
Runnels
10,309
21.90%
2,258
Armstrong
1,949
21.10%
411
Gonzales
20,312
21.90%
4,448
Knox
3,767
21.10%
795
Dawson
13,810
21.90%
3,024
Cass
30,331
20.90%
6,339
Reeves
13,965
21.90%
3,058
Eastland
18,245
20.90%
3,813
Camp
12,413
21.80%
2,706
Montague
19,503
20.90%
4,076
Jim Wells
41,680
21.70%
9,045
Refugio
7,305
20.90%
1,527
La Salle
7,369
21.70%
1,599
Runnels
10,309
20.80%
2,144
Limestone
23,326
21.50%
5,015
Burnet
43,823
20.70%
9,071
Parmer
9,965
21.30%
2,123
Houston
22,911
20.60%
4,720
Navarro
48,038
21.10%
10,136
Henderson
78,675
20.50%
16,128
Matagorda
36,592
21.10%
7,721
Dickens
2,291
20.30%
465
Jefferson
252,358
21.00%
52,995
52 | P a g e
Goliad
7,465
20.30%
1,515
Cass
30,331
20.90%
6,339
Morris
12,834
20.30%
2,605
Falls
17,493
20.90%
3,656
Tyler
21,464
20.30%
4,357
Knox
3,767
20.80%
784
Presidio
7,201
20.20%
1,455
Robertson
16,486
20.70%
3,413
Roberts
831
20.20%
168
Wilbarger
13,131
20.70%
2,718
Colorado
20,752
20.10%
4,171
Morris
12,834
20.60%
2,644
Franklin
10,660
20.00%
2,132
Collingsworth
3,099
20.40%
632
Ward
11,244
20.40%
2,294
Lubbock
289,324
20.40%
59,022
Waller
45,213
20.40%
9,223
Floyd
6,230
20.30%
1,265
Anderson
57,938
20.30%
11,761
Real
3,350
20.20%
677
TOTALS
823,967
23.52%
190,940
Polk
45,790
20.20%
9,250
Lynn
5,723
20.20%
1,156
San Jacinto
26,856
20.10%
5,398
TOTALS
4,777,118
24.83%
1,286,737
Source: United States Census Bureau, 2014
As these numbers show, 17.6% of Texas’ population is below the poverty level and may qualify for
Medicaid, compared to 15.4% nationally. There are 78 counties in Texas where Medicaid eligible
residents make up 20% or more of the population, and 11 counties where Medicaid eligible residents
make up 30% or more of the population. The chart below indicates current Medicaid/CHIP enrollment
in Texas and nationally.
Source: Centers for Medicare & Medicaid Services, Medicaid.gov
As referenced above, 11.2% of Texas’ population has reached the age of Medicare eligibility compared
to 14.1% of the general population. There are 69 mostly rural Texas counties where Medicare eligible
residents make up 20% or more of the population and one Texas County where Medicare eligible
residents make up 30% or more of the population.
53 | P a g e
Whether those eligible for these government health insurance programs in Texas have reasonable
access to physicians is determined to a significant extent by the number of physicians who accept these
forms of insurance. The charts below reflect these numbers.
Physician Medicare and Medicaid Acceptance Rates in Texas
All Texas Counties
Medicare
20%
Medicaid
6%
Both
60%
None
14%
Top 5 Metro Counties
Bexar, Dallas, Harris, Tarrant, Travis
Medicare
21%
Medicaid
6%
Both
58%
None
15%
54 | P a g e
Remaining Counties
Medicare
18%
Medicaid
5%
None
14%
Both
63%
Source: SK&A, 2014
As these numbers indicate, the rate of Medicaid acceptance by physicians in Texas is 66%; the rate in
the top five most populous counties is slightly lower at 64%; and the rate for the remaining less
populous counties is 68%, indicating the rate of Medicaid acceptance in rural counties in Texas is slightly
higher than in metro counties.
The number of Texas physicians who do not accept Medicaid (34%) is higher than the national average
of 18%, as determined by the 2014 Survey of America’s Physicians, which Merritt Hawkins conducted on
behalf of The Physicians Foundation (www.physiciansfoundation.com).
In this extensive survey, based on data provided by over 20,000 physicians it showed that 31% of Texas
physicians indicated they do not accept Medicaid (margin of error +/- .78% based on analysis provided
by survey research experts at the College of Business Administration, University of Tennessee), a
number similar to the 34% of Texas physicians who do not accept Medicaid as tracked by the data
company SK&A referenced above. The chart below shows where Texas ranks by physicians who do not
accept Medicaid:
Physicians Who Do Not Accept Medicaid by State
1
2
3
4
5
6
7
New Jersey
Texas
Florida
Louisiana
California
Hawaii
Georgia
32.7%
31.0%
29.4%
29.2%
25.8%
21.1%
21.0%
26
27
28
29
30
31
32
South Carolina
Kentucky
New Mexico
Washington
North Carolina
New Hampshire
Iowa
12.6%
12.4%
12.3%
12.0%
11.4%
11.0%
10.7%
55 | P a g e
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
New York
Alabama
Maryland
Illinois
West Virginia
Rhode Island
Virginia
Colorado
Nevada
Tennessee
Mississippi
Missouri
Connecticut
Michigan
Kansas
Pennsylvania
Arizona
Oklahoma
20.9%
19.6%
19.3%
19.0%
18.8%
18.8%
18.8%
18.8%
17.7%
16.2%
15.3%
15.1%
15.0%
14.4%
13.9%
13.5%
13.4%
13.1%
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
Delaware
Ohio
Indiana
Utah
Nebraska
Oregon
Massachusetts
Arkansas
South Dakota
Maine
Minnesota
North Dakota
Idaho
Wisconsin
Wyoming
Alaska
Montana
Vermont
10.5%
10.1%
10.0%
9.7%
8.6%
8.3%
8.1%
7.7%
7.1%
6.1%
5.8%
5.0%
4.7%
4.4%
2.9%
2.6%
2.0%
0.0%
Source: A Survey of America’s Physicians/The Physicians Foundation/Merritt Hawkins, 2014
In an additional survey, Merritt Hawkins examined physician appointment wait times and Medicare and
Medicaid acceptance rates among physicians in five specialties (including family medicine) in 15 large
metro areas nationwide. Two of these metro areas (Dallas/Fort Worth and Houston) are in Texas. The
chart below indicates that Medicaid acceptance rates by physicians are lower in Dallas/Fort Worth than
in all other cities except Denver, while Medicaid acceptance rates in Houston fall at the median point.
Rates of Medicaid Acceptance by Physicians in Metro Areas
Metro Area
San Diego
Washington, D.C.
Philadelphia
Boston
Portland
Miami
Seattle
Houston
Los Angeles
Detroit
Atlanta
Minneapolis
New York
Dallas/Fort Worth
Denver
Rate of Acceptance
86%
71%
67%
65%
60%
56%
55%
55%
53%
50%
40%
35%
32%
30%
20%
56 | P a g e
Source: Merritt Hawkins 2014 Survey of Patient Appointment Wait Times
While Texas has a relatively high Medicaid eligible population, it also has a relatively high number of
physicians who do not accept Medicaid.
Low Medicaid acceptance rates may be driven by the fact that a relatively high number of Texas
physicians remain in independent practice. Because Medicare and Medicaid reimbursement rates often
are relatively low compared to commercial rates, private practice doctors often have to limit the
number of these patients in order to keep their practices financially viable. According to the Center for
Medicare and Medicaid Services (CMS) Office of the Actuary, Medicare payments are about 80% of
private health insurance while Medicaid payments are about 58%. In addition, Medicaid reimbursement
rates in Texas are the 11th lowest in the nation (chart below):
Medicaid Physician Reimbursement Rates as a Percent of the National
Average for All Services (Lowest to Highest)
1
2
3
4
5
6
7
8
9
10
11
45
46
47
48
49*
Rhode Island
Michigan
New Jersey
California
New York
Missouri
Indiana
Florida
New Hampshire
Ohio
Texas
Montana
Delaware
Wyoming
North Dakota
Alaska
.58
.76
.77
.80
.87
.87
.87
.89
.92
.96
.96
1.51
1.56
1.76
2.04
2.42
*Data available for only 49 states.
Source: Medicaid Physician Fee Index. Kaiser Family Foundation.
This virtually assures that Medicaid patients in Texas will have a difficult time accessing a regular
physician, and likely will rely heavily on hospital emergency departments, urgent care centers, and
Federally Qualified Health Centers (FQHCs) for physician services. As stated above, should Texas rethink
its position on expanding Medicaid eligibility, over 1.2 million people would qualify for coverage.
However, given low rates of Medicaid acceptance among Texas physicians, it is likely that many of those
newly insured through Medicaid expansion would not be able to obtain timely access to a doctor.
57 | P a g e
Impact of FQHCs
FQHCs provide a site of service for those without insurance and for the medically underserved. The ACA
expanded funding for FQHCs whose mission is to provide affordable, quality care to traditionally
underserved populations. There are 70 FQHCs in Texas employing 497 physicians (see list below):
FQHCs in Texas
Year
Funded
Pre 2002
Number of Physicians
Employed/Affiliated
Federal Qualified Health Center Name
City
Atascosa Health Center, Inc.
Pleasanton
Pre 2002
Brownsville Community Health Center
Brownsville
13
Pre 2002
Houston
1
Pre 2002
Central Care Community Health Center (South Central Houston Action
Council)
Centro De Salud Familiar La Fe
El Paso
4
Pre 2002
Centro San Vicente
El Paso
8
Pre 2002
CentroMed (El Centro Del Barrio, Inc.)
San Antonio
27
Pre 2002
Coastal Health and Wellness (Galveston County Coordinated Community
Clinics)
Communicare (Barrio Comprehensive Family Health Care Center, Inc.)
La Marque
2
San Antonio
20
Wichita Falls
6
Pre 2002
Community Health Care Center (North Central Texas Community Health
Care)
Community Health Center of Lubbock
Lubbock
10
Pre 2002
Community Health Centers of South Central Texas Inc.
Gonzales
N/A
Pre 2002
Community Health Development, Inc.
Uvalde
Pre 2002
Community Health Service Agency, Inc.
Greenville
Pre 2002
CommUnityCare (Austin Travis County Health District)
Austin
47
Pre 2002
Cross Timbers Health Clinic, Inc.
De Leon
4
Pre 2002
Dallas County Hospital District
Dallas
4
Pre 2002
East Texas Community Health Services
Nacogdoches
4
Pre 2002
Gateway Community Health Center, Inc.
Laredo
6
Pre 2002
Gulf Coast Health Center, Inc.
Port Arthur
3
Pre 2002
Harris County Hospital District-- Healthcare For The Homeless
Houston
10
Pre 2002
Healthcare For The Homeless--Houston
Houston
10
Pre 2002
Heart of Texas Community Health Center, Inc.
Waco
N/A
Pre 2002
La Esperanza Clinic, Inc.
San Angelo
N/A
Pre 2002
Los Barrios Unidos Community Clinic
Dallas
12
Pre 2002
Martin Luther King, Jr. Family Clinic, Inc.
Dallas
7
Pre 2002
Nuestra Clinica Del Valle. Inc.
Pharr
Pre 2002
Regence Health Network, Inc.
Plainview
N/A
Pre 2002
South Plains Rural Health Services, Inc.
Levelland
4
Pre 2002
South Texas Rural Health Services, Inc.
Cotulla
1
Pre 2002
Su Clinica Familiar
Harlingen
N/A
Pre 2002
United Medical Centers
Eagle Pass
11
Pre 2002
Vida Y Salud Health Systems, Inc.
Crystal City
1
Pre 2002
Pre 2002
1
N/A
12
58 | P a g e
2002
Brazos Valley Community Action Agency, Inc.
College Station
41
2002
Fort Bend Family Health Center, Inc.
Richmond
7
2003
Cactus Health Centers
Sanderson
1
2003
Community Action Corporation of South Texas
Alice
2003
El Centro de Corazon
Houston
1
2003
Lone Star Community Health Center, Inc.
Conroe
12
2005
Lone Star Circle of Care
Georgetown
38
2005
Project Vida Health Center
El Paso
4
2006
Good Neighbor Healthcare Center (Fourth Ward)
Houston
5
2006
Midland Community Healthcare Services
Midland
7
2006
Fort Worth
7
2006
North Texas Area Community Health Care (Fort Worth Northside
Community Health Center, Inc.)
Pasadena Health Center
Pasadena
2
2006
ResourceCare (Shackelford County Community Resource)
Albany
4
2006
Spring Branch Community Health Center
Houston
2
2007
Amistad Community Health Center Incorporated
Corpus Christi
4
2007
Anahuac
4
2007
Bayside Community Health Clinic (Chambers County Public Hospital
District)
Frontera Healthcare Network
Eden
5
2007
Genesis Prime Community Health Care (East Texas Border Health Clinic)
Marshall
2
2007
Health Center of Southeast Texas
Cleveland
1
2007
Houston Community Health Centers, Inc.
Houston
3
2007
Legacy Community Health Services, Inc.
Houston
2007
Presidio County Health Services, Inc.
Marfa
2007
Wellness Point (Longview Wellness Center)
Longview
2009
Health Opportunities for the People of East Texas, Inc.
Center
N/A
2009
Hope Clinic (Ellis County Coalition for Health Options)
Waxahachie
N/A
2009
Houston Area Community Services, Inc.
Houston
N/A
2009
Matagorda Episcopal Health Outreach Program
Bay City
5
2009
Mt. Enterprise Community Health Center
Mt. Enterprise
1
2009
Stephen F Austin Community Health Center, Inc.
Alvin
1
2009
Texas Tech University Health Sciences Center, Larry Combest Center
Lubbock
16
2012
Health Services of North Texas, Inc.
Denton
5
2012
Hope Clinic (Asian American Health Coalition)
Houston
6
2012
Mission East Dallas
Dallas
2
2012
People's Community Health Clinic
Austin
13
2012
Tejas Health Care
La Grange
3
2013
Tyler Family Circle of Care
Tyler
9
2013
Bee Busy Wellness Center
Houston
1
2013
Saint Hope Foundation
Houston
5
N/A
47
N/A
7
Source: Texas Department of State Health Services, 2013
59 | P a g e
These facilities saw 1,727,000 individual patients in 2013, up from 1,085,199 in 2012, and handled
3,111,869 patient visits (National Association of Community Health Centers/Texas Health Center Fact
Sheet). As the chart above indicates, 15 of these centers have been added since 2009 or later. The
FQHC model is growing rapidly around the country, and given Texas’ high rate of uninsured and large
number of underserved areas, the model appears particularly appropriate for the state.
Impact of Urgent Care/Retail
Urgent care centers are another delivery model that is proliferating across the nation and in Texas (see
chart below).
Growth in Urgent Care
9,300 urgent care centers in the U.S.
40% to expand to a new site
85% expect new patient growth
50% free standing
50% in retail shopping areas
Source: Becker’s Hospital Review. August, 2014
Currently, there are 706 urgent care centers in Texas. A list of Texas urgent care centers is included in
Appendix B. These centers generally are staffed with physician assistants (PAs) and nurse practitioners
(NPs) but may also have a physician (usually in primary care) on-site or supervising. Urgent care centers
are increasing points of health care access, but not necessarily for those who do not have insurance or
who are underserved. They principally provide convenient care to those who are insured but do not
have timely access to a physician, and usually are located in urban/suburban retail areas.
These centers represent a movement toward consumer driven care in which the larger entities that tend
to own these centers can be “everywhere, all the time.” They feature the employed physician model
and offer physicians set schedules, thereby likely reducing overall physician FTEs while at the same time
increasing points of patient access (see below for a discussion of how physician employment is reducing
FTEs).
Urgent Care/ Retail Facilities in the Five Most Populous Counties in Texas
Harris County
Dallas County
Tarrant County
Bexar County
Travis County
157
86
57
65
39
As these numbers indicate, 57% of Texas’ urgent care centers are located in the five most populous
counties in the state, which 44% of the population resides.
Medicare Acceptance
Given Medicare’s relatively high reimbursement rate compared to Medicaid, the rate of Medicare
acceptance by physicians in Texas is higher than the acceptance rate for Medicaid, as is to be expected.
60 | P a g e
As the charts above show, the rate of Medicare acceptance in Texas is 80%, the rate in the top five most
populous counties is 79%, and the rate in the remaining counties is 81%, indicating that the rate of
Medicare acceptance is higher in rural counties than in metro counties.
Of note is that fact that 14% of physicians in Texas do not accept Medicare nor do 15% of physicians in
the top five most populous counties, and 14% of physicians in the remaining counties do not, according
to SK&A data. As Richard Johnston, M.D. of USMD Holdings, Inc., a 350-physician group with offices
throughout Dallas-Fort Worth calculates, independent primary care physicians can only afford to have
5%-10% of their practices composed of Medicare patients, after which the practice becomes fiscally
unviable.
In the 2014 Survey of America’s Physicians referenced above, 18% of Texas physicians indicated they do
not accept Medicare patients, a number somewhat larger than the 14% SK&A reports. The following
chart shows where Texas physicians rank in Medicare acceptance rates relative to physicians in other
states.
Physicians Who Do Not Accept Medicare by State
1 Hawaii
2 Texas
3 West Virginia
4 Rhode Island
5 Virginia
6 Iowa
7 Georgia
8 Nevada
9 Indiana
10 New Mexico
11 Florida
12 California
13 Tennessee
14 Maryland
15 Connecticut
16 Louisiana
17 Colorado
18 New Jersey
19 Utah
20 Mississippi
21 Kansas
22 New York
23 Oklahoma
24 New Hampshire
25 Arkansas
Source: A Survey of America’s Physicians.
19.1%
12.3%
26 Illinois
18.3%
12.0%
27 Alabama
17.9%
12.0%
28 North Carolina
17.8%
11.3%
29 Ohio
17.8%
11.2%
30 Nebraska
17.8%
10.9%
31 South Carolina
16.8%
10.6%
32 Michigan
15.9%
10.5%
33 Alaska
15.8%
10.4%
34 Kentucky
15.4%
Washington
10.1%
35
15.2%
10.0%
36 Arizona
15.1%
9.6%
37 Delaware
14.4%
Maine
9.2%
38
14.2%
9.0%
39 Pennsylvania
13.8%
8.9%
40 Missouri
13.7%
Wyoming
8.8%
41
13.4%
8.6%
42 Minnesota
13.1%
8.1%
43 South Dakota
13.0%
7.4%
44 Vermont
12.7%
7.3%
45 Oregon
12.7%
6.9%
46 Massachusetts
12.6%
6.4%
47 Wisconsin
12.6%
6.3%
48 Idaho
12.5%
6.0%
49 Montana
12.4%
5.0%
50 North Dakota
The Physicians Foundation/Merritt Hawkins, 2014
61 | P a g e
The survey Merritt Hawkins conducted examining Medicare acceptance rates in 15 metro areas further
indicates that Medicare acceptance rates by Texas physicians are relatively low.
Medicare Acceptance Rates in 15 Major Metro Areas
Metro Area
Boston
Detroit
Washington, D.C.
Los Angeles
Philadelphia
Portland
Seattle
Atlanta
Denver
Dallas
Houston
San Diego
Miami
New York
Minneapolis
Rate of Acceptance
98.0
95.8
86.4
86.3
86.2
86.0
85.7
82.0
74.4
74.0
73.6
70.2
68.7
49.0
38.2
Source: Survey of Physician Appointment Wait Times and Medicaid and Medicare Acceptance
Rates/Merritt Hawkins, 2014
Though Texas has fewer Medicare eligible residents than the general population, somewhat inhibiting
demand for physician services, it nevertheless has 5.7 million baby-boomers who began accessing
Medicare in 2011. Given low Medicare acceptance rates and physician deficits in Texas, both in primary
care and specialty care, Medicare eligible patients are likely to find it increasingly difficult to obtain
timely access to physicians.
State Exchange Participation Rates
The state insurance exchanges established by the ACA have expanded the number of people in the U.S.
who have health insurance. As of February 15, 2015, 9.1 million people nationwide are expected to
have obtained health insurance through the exchanges (healthcare.gov).
As with Medicare and Medicaid, the ability of these patients to see a physician will be determined to a
large extent by the number of doctors participating in the exchanges.
Based on the results of The Physicians Foundations survey cited above, 25.8% of Texas physicians
participate in state insurance exchanges, compared to 33.3% of physicians nationwide. The chart below
shows where Texas physicians rank in terms of participation in state exchanges:
Physicians Participating in State Exchanges Established by the ACA by State
1
2
Vermont
Idaho
62.5%
55.6%
26
27
Georgia
Maryland
32.8%
31.9%
62 | P a g e
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
Arkansas
Washington
Massachusetts
Colorado
Connecticut
Nevada
New Hampshire
Oregon
Maine
Minnesota
Arizona
Montana
Wisconsin
Indiana
Wyoming
Kentucky
New Mexico
Nebraska
South Carolina
California
Iowa
Tennessee
Alaska
54.9%
48.2%
45.8%
44.7%
44.2%
43.9%
43.0%
42.8%
42.4%
42.2%
39.8%
39.2%
38.8%
38.6%
38.2%
38.0%
37.5%
36.2%
36.2%
36.0%
34.9%
34.3%
34.2%
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
Illinois
New York
Michigan
Missouri
Delaware
Ohio
Kansas
Pennsylvania
Utah
Rhode Island
Virginia
West Virginia
Hawaii
North Carolina
South Dakota
Texas
Florida
Alabama
Mississippi
New Jersey
North Dakota
Louisiana
Oklahoma
31.7%
31.5%
31.1%
30.4%
30.3%
29.3%
29.1%
29.0%
28.5%
28.1%
28.1%
28.1%
26.8%
26.6%
26.2%
25.8%
25.5%
25.1%
24.2%
23.4%
22.6%
22.4%
20.6%
Source: A Survey of America’s Physicians. The Physicians Foundation/Merritt Hawkins, 2014.
As the survey indicates, Texas ranks 43rd in state exchange participation. 37.3% of Texas physicians
indicated they have no plans to participate in the exchanges, while 10.8% said they do not participate
but are likely to. The current low physician participation rate indicates those covered through the
exchanges also may be challenged to find a regular physician.
Overextended and Overworked
The reasons why physicians may not be willing or able to accommodate those insured through
Medicare, Medicaid and the state exchanges are not exclusively economic. In The Physicians
Foundation survey referenced above, the majority of physicians nationally and in Texas indicated they
now are overextended or are at full capacity. Nationally, 81% of physicians indicated they are now
overextended or are at full capacity, while only 19% said they have the time to see more patients or take
on new duties. The chart below indicates percent of physicians who are overextended or who are at full
capacity by state.
Physicians Who Are At Capacity or Overextended
1
2
3
Wyoming
Vermont
Massachusetts
97.1%
87.2%
86.8%
26
27
28
Delaware
Utah
Kentucky
80.2%
80.1%
79.9%
63 | P a g e
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
Pennsylvania
Minnesota
Ohio
Arkansas
Washington
Colorado
Connecticut
Michigan
Missouri
North Carolina
Nevada
Maryland
Montana
Arizona
Tennessee
California
New Mexico
Alaska
Oregon
South Dakota
Iowa
New Jersey
86.2%
85.7%
85.4%
85.0%
84.4%
84.2%
83.9%
83.3%
83.0%
83.0%
82.6%
82.5%
82.3%
82.2%
82.1%
81.8%
81.2%
81.1%
81.1%
81.0%
80.7%
80.6%
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
Mississippi
New York
Nebraska
Rhode Island
Virginia
West Virginia
Florida
North Dakota
Illinois
New Hampshire
Texas
South Carolina
Wisconsin
Georgia
Indiana
Maine
Oklahoma
Hawaii
Kansas
Louisiana
Alabama
Idaho
79.9%
79.4%
79.3%
79.3%
79.3%
79.3%
79.1%
79.1%
78.9%
78.9%
78.6%
78.5%
78.5%
78.1%
77.8%
77.6%
77.6%
77.0%
76.0%
73.5%
73.4%
72.1%
Source: A Survey of America’s Physicians. The Physicians Foundation/Merritt Hawkins, 2014
Though Texas physicians are not at the top of this list, the great majority (78.6%) are overextended or
are at full capacity, while only 21.4% have the time to see more patients or take on more duties.
New responsibilities, such as implementation of ICD-10, are likely to consume additional physician time.
When asked about ICD-10 implementation in The Physicians Foundation Survey, 58% of Texas physicians
said it is likely to cause a severe administrative problem, compared to 50% of physicians nationally.
Finding capacity in the current physician workforce will therefore be a challenge, and additional doctors
will need to be trained in the state or recruited to Texas from other areas of the country to ensure
timely access to physician services.
Physician Practice Plans
Medical practice in the United States traditionally has been characterized by full-time work in mostly
clinical roles in an independent, privately owned setting.
However, types of settings in which physicians choose to practice are changing. Doctors are no longer
limited to working in solo or small, independent group practices. Today, they can be employed by a
hospital, a large medical group, an urgent care center, FQHC, retail clinic, large employer, insurance
company or a variety of other entities.
64 | P a g e
Similarly, physicians no longer are limited to full-time, clinical private practice. Many physicians,
dissatisfied with the current medical practice environment, are seeking alternatives to traditional
practice styles. The Physicians Foundation survey referenced above asked physicians to indicate what
they plan to do in the next one to three years. Results for all physicians and for Texas physicians are
indicated below:
In the Next One to Three Years, Do You Plan To:
Continue as I am
Cut back on hours
Retire
Switch to a cash/concierge practice
Work locum tenens
Cut back on patients seen
Seek a non-clinical job within healthcare
Seek employment with a hospital
Work part-time
Close my practice to new patients
Other
Texas
52.1%
19.4%
11.7%
9.0%
9.3%
9.9%
11.0%
6.9%
6.4%
3.3%
6.9%
All
56.4%
18.2%
9.4%
6.2%
9.1%
7.8%
10.4%
7.3%
6.4%
2.4%
5.3%
Source: A Survey of America’s Physicians. The Physicians Foundation/Merritt Hawkins, 2014
While 52.1% of Texas physicians plan to continue their current style of practice, compared to 56.4%
nationally, 47.9% plan to take one or a variety of steps likely to reduce patient access to their services.
These steps include cutting back on hours, retiring, reducing the number of patients they see, working
locum tenens, seeking a non-clinical job, working part-time or closing their practice to new patients.
While it is difficult to quantify exactly how these changes will affect physician FTEs and patient access to
medical services in Texas, some inferences can be made. Below is an examination of the potential
impact on patient access to medical services should physicians in Texas choose to transition to concierge
medicine.
The Impact of Concierge Medicine
It has been observed nationally and in Texas that some physicians are embracing concierge or direct pay
medicine, a practice style in which physicians contract directly with patients, often in lieu of accepting
government insurance plans such as Medicare and Medicaid and private insurance.
In the 2014
Physicians Foundation survey, physicians were asked about their current position on concierge medicine
(see chart below):
What is Your Position on Concierge/Direct Pay Medicine?
I now practice some form of concierge/direct pay medicine
I am planning to transition fully or in part to this model
I have no plans to transition to this model
Texas
9.3%
18.0%
72.7%
All
7.2%
13.3%
79.5%
65 | P a g e
Source: A Survey of America’s Physicians. The Physicians Foundation/Merritt Hawkins. 2014
The chart below indicates that a relatively high number of Texas physicians who now are practicing
some form of concierge medicine or are planning to do so.
Physicians Now Practicing Concierge Medicine or Planning To By State
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
Wyoming
Nevada
Louisiana
Florida
Texas
Georgia
Mississippi
Alaska
Utah
California
Colorado
Oklahoma
Rhode Island
Tennessee
Virginia
West Virginia
New York
New Mexico
Montana
North Carolina
Kansas
Michigan
New Jersey
Ohio
Arizona
38.2%
30.5%
28.8%
28.5%
27.3%
26.8%
25.8%
23.7%
23.7%
23.3%
23.3%
23.2%
22.3%
22.3%
22.3%
22.3%
22.1%
21.9%
21.6%
21.1%
20.9%
20.6%
20.6%
20.5%
19.4%
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
Kentucky
Maryland
Iowa
Indiana
South Dakota
Connecticut
New Hampshire
Arkansas
Hawaii
Illinois
South Carolina
Minnesota
Pennsylvania
Missouri
Massachusetts
Alabama
Washington
Maine
North Dakota
Idaho
Oregon
Wisconsin
Nebraska
Delaware
Vermont
19.4%
19.3%
19.2%
19.1%
19.0%
18.9%
18.5%
18.0%
18.0%
17.4%
17.2%
16.9%
16.2%
15.4%
15.1%
15.0%
14.9%
13.7%
12.9%
12.7%
11.0%
10.9%
9.4%
9.2%
4.2%
Source: A Survey of America’s Physicians. The Physicians Foundation/Merritt Hawkins. 2014
The benefits and drawbacks of concierge medicine are the subject of continuing debate, with physicians
in favor of the model arguing that it allows physicians to provide more personalized and effective care.
Those opposed point out that primary care physicians converting to the concierge model often limit
their practices to 500 to 600 patients, subsequently dropping three to four times that many patients
from their practices. These patients then must find new physicians and may have difficulty doing so.
As the numbers above indicate, the Texas service area may see a relatively high number of physicians
embrace the concierge model, given the tradition of independent, private practice ownership in Texas,
which is preserved in the concierge/direct pay style of practice. The concierge model also tends to
proliferate in areas such as Dallas/Fort Worth, Austin, Houston, and San Antonio, which have a high
66 | P a g e
concentration of patients who are both employed and have disposable income to invest in a more
personalized style of care.
The following chart tracks potential patients who may be compelled to find a new family physician
depending on the number of physicians in Texas who convert to concierge practice in the future. It
assumes 6,228 family physicians in Texas with an average patient panel of 3,000, for a total patient
panel of 18,648,000. It further assumes that Texas physicians transitioning to the concierge model will
drop an average of 2,500 of their current patients from their practices.
Potential Number of Patients Requiring New Family Practice Physicians
In Response to Physician Adoption of the Concierge Model in Texas
Total Family Physicians in Texas: 6,228
Average patient panel: 3,000 (if consistent with national averages)
Number of Patients Requiring New
Convert to Concierge Number of Patients Drop
Family Physician
5%
2,500
778,500
10%
2,500
1,557,000
15%
2,500
2,335,500
20%
2,500
3,114,000
These numbers are, of course, hypothetical, and the percent of Texas physicians who will eventually
convert to concierge medicine is not known, nor is the average patient panel of each family physician in
Texas. Nevertheless, it is clear that even if a modest number of Texas family physicians convert to
concierge practice in coming years (considerably fewer than indicate they will do so in The Physicians
Foundation survey), tens of thousands and perhaps hundreds of thousands of patients will need to find
a new family physician.
Part-time and Non-Clinical Practice
Similar estimates could be made for physicians who indicated they will make other practice changes.
For example, if 6.4% of Texas physicians choose to work part-time in the next one to three years, per
The Physicians Foundation survey, it would equate to a loss of 1,500 physician FTEs. If 11% of Texas
physicians obtain a non-clinical job in the next one to three years, per The Physicians Foundation Survey,
it would equate to a loss of 5,164 physician FTEs from clinical roles.
Again, it is not known how many physicians will actually pursue these options, but it is clear that
changing practice patterns will have a significant, inhibiting effect on total physician FTEs in Texas and
nationally, as more doctors migrate away from traditional, full-time, clinical private practice and toward
part-time, non-clinical, concierge and other emerging practice models.
Changing Physician Work Schedules
Reduction in Texas physician FTE counts also may be driven by changing physician work schedules.
With the advent of physician employment and younger physicians valuing a controllable lifestyle,
physician productivity can be expected to decline. The survey Merritt Hawkins conducted for The
67 | P a g e
Physicians Foundation referenced above illustrates that hours worked and patients seen by physicians
have decreased in the last six years.
Average Hours Worked by Physicians per Week
Year
2008
2012
2014
Hours
56.93
52.93
52.83
Decline of 5.9%/2008-2014
Average Patients Seen per Day
Year
2008
2012
2014
Patients
23.43
20.10
19.5
Decline of 16.8%/2008-2014
Source: A Survey of America’s Physicians: The Physicians Foundation/Merritt Hawkins. 2014
Assuming another 5.9% drop in average hours worked per week by physicians over the next six years,
Texas’ current 46,953 physicians will represent only 43,823 FTEs in 2021, a loss of 2,770 FTEs by today’s
standards. Assuming a smaller, 3% drop in average hours worked over the next six years equates to a
loss of 1,385 FTEs by 2021.
Assuming another 16.8% drop in average number of patients seen per day over the next six years for
Texas’ 6,228 family physicians equates to a reduction of 3,132,864 patients seen per year by 2021.
Assuming a smaller, 8.4% reduction in patients seen by family physicians over the next six years equates
to 1,566,432 fewer patients seen.
Again, the exact percent of reduction in physician productivity cannot be predicted, but given that the
trend toward employment and away from private practice still is accelerating, some drop can be
predicted, and this will have a measurable effect on physician FTEs and patient access to physician
services in Texas.
IMPACT OF PHYSICIAN AGE
In the next ten years, an aging physician population will have a profound impact on the physician
workforce. Over 42% of all physicians in active patient care in the United States are 55 years old or
older. In ten years, many of these physicians will be retired, and for the first time in the modern era of
medicine there will likely be fewer physicians entering the workforce each year than exiting it.
68 | P a g e
Data show that while the physician workforce in Texas will be significantly affected by physician aging,
the impact could be relatively mitigated as Texas physicians are comparatively youthful compared to
national averages (see charts below).
United States (Age55+)
All Texas Counties
(Age 55+)
42%
58%
Physicians 55+
39%
61%
Physicians ≤54
Physicians 55+
Physicians ≤ 54
Top 5 Metro Counties (Age 55+)
Remaining Counties
Bexar, Dallas, Harris, Tarrant, Travis
(Age 55+)
38%
60%
62%
Physicians 55+
40%
Physicians ≤ 54
Physicians 55+
Physicians ≤ 54
69 | P a g e
Unites States (Age 60+)
All Texas Counties
(Age 60+)
28%
24%
72%
76%
Physicians 60+
Physicians ≤59
Top 5 Metro Counties
Bexar, Dallas, Harris, Tarrant, Travis
Physicians 60+
Remaining Counties
25%
24%
75%
76%
Physicians 60+
Physicians ≤ 59
Physicians ≤ 59
Physicians 60+
Physicians ≤ 59
Source: SK&A, 2014
As these numbers indicate, only 39% of physicians in Texas are 55 years old and older, compared to 42%
nationally, and 24% are 60 and older, compared to 28% nationally.
Nevertheless, 39% of the total represents 18,311 physicians in Texas who are 55 or older, many of
whom are likely to retire sometime in the next ten years.
As stated above, physician practice patterns also must be taken into consideration. As noted in The
Physicians Foundation survey, 45.4% of Texas physicians said they would accelerate their retirement
plans given the changes taking place in medicine, compared to 38.6% of all physicians (see chart on
following page).
70 | P a g e
Physicians Planning to Accelerate Their Retirement Plans by State
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
Montana
Wyoming
North Dakota
Oregon
Arkansas
Texas
Louisiana
South Carolina
Alabama
Mississippi
North Carolina
Ohio
Indiana
Utah
Kansas
Minnesota
New Mexico
Michigan
Arizona
Idaho
Oklahoma
Georgia
Kentucky
Hawaii
Connecticut
62.2%
55.9%
49.2%
48.3%
46.2%
45.4%
43.1%
43.1%
42.8%
42.5%
42.2%
42.2%
41.7%
41.7%
40.9%
40.9%
40.6%
40.1%
39.7%
39.7%
39.6%
39.4%
39.3%
38.9%
38.7%
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
Maine
Iowa
Tennessee
Missouri
Colorado
Illinois
Wisconsin
Washington
Florida
Rhode Island
Virginia
West Virginia
Pennsylvania
New Jersey
California
Vermont
Nevada
Maryland
New York
Nebraska
New Hampshire
Delaware
Alaska
South Dakota
Massachusetts
38.7%
38.6%
38.4%
38.3%
38.2%
38.2%
38.1%
38.0%
37.9%
37.0%
37.0%
37.0%
36.7%
36.5%
36.1%
35.4%
35.0%
34.8%
34.0%
33.9%
33.9%
32.9%
32.4%
31.0%
29.1%
Source: A Survey of America’s Physicians: The Physicians Foundation/Merritt Hawkins. 2014
Close to 12% of Texas physicians said they plan to retire in the next one to three years, compared to
9.4% of all physicians (see chart below).
Physicians Who Plan To Retire In the Next 1-3 Years by State
1
2
3
4
5
6
7
8
9
Idaho
Montana
New Mexico
Hawaii
Maine
Oregon
New Jersey
Kansas
Illinois
21.3%
19.2%
18.2%
17.6%
14.1%
13.7%
12.2%
12.0%
11.9%
26
27
28
29
30
31
32
33
34
Tennessee
Georgia
South Carolina
Missouri
New York
Pennsylvania
Nevada
New Hampshire
North Carolina
8.4%
8.2%
8.1%
7.9%
7.9%
7.9%
7.8%
7.8%
7.8%
71 | P a g e
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
Texas
Washington
Alaska
Minnesota
Arkansas
Louisiana
Mississippi
Vermont
Connecticut
North Dakota
California
Ohio
Maryland
Wyoming
Nebraska
Arizona
11.7%
11.6%
11.1%
11.1%
11.0%
10.9%
10.8%
10.4%
10.0%
9.7%
9.4%
9.0%
8.8%
8.8%
8.6%
8.5%
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
Oklahoma
Florida
Wisconsin
Alabama
Kentucky
Michigan
Indiana
Delaware
Iowa
Rhode Island
Virginia
West Virginia
Colorado
Massachusetts
South Dakota
Utah
7.8%
7.6%
7.5%
7.3%
7.3%
7.2%
6.9%
6.8%
6.5%
6.3%
6.3%
6.3%
5.8%
5.4%
4.8%
4.6%
Source: A Survey of America’s Physicians: The Physicians Foundation/Merritt Hawkins. 2014
PHYSICIAN MORALE IN TEXAS
The high rate of intended retirement among Texas physicians is in part a function of their professional
morale, which is low compared to physicians in other states. The chart below indicates that morale
among Texas physicians is lower than that of doctors in almost every other state.
Physician Morale by State/ Percent Who Rate Morale as Positive
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
North Dakota
Minnesota
Rhode Island
Virginia
West Virginia
Maryland
Massachusetts
Wisconsin
Iowa
Idaho
Utah
California
Kansas
Vermont
Kentucky
Nebraska
Alaska
Oklahoma
58.1%
54.8%
52.9%
52.9%
52.9%
51.3%
51.0%
50.4%
49.7%
49.2%
48.5%
48.0%
48.0%
47.9%
47.7%
47.5%
47.4%
46.1%
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
New York
Illinois
Wyoming
Pennsylvania
Alabama
Michigan
Oregon
Tennessee
South Dakota
Ohio
New Hampshire
Colorado
New Jersey
New Mexico
Connecticut
Georgia
Florida
Arizona
44.3%
44.1%
44.1%
44.0%
43.9%
43.6%
43.0%
43.0%
42.8%
42.7%
42.6%
42.3%
42.3%
41.3%
41.1%
41.1%
40.9%
39.8%
72 | P a g e
19
20
21
22
23
24
25
South Carolina
Washington
Delaware
Indiana
Missouri
Hawaii
Maine
45.8%
45.7%
45.3%
44.9%
44.9%
44.8%
44.5%
44
45
46
47
48
49
50
Mississippi
North Carolina
Texas
Louisiana
Nevada
Arkansas
Montana
39.8%
38.8%
36.3%
35.7%
32.8%
32.4%
29.4%
Source: A Survey of America’s Physicians. The Physicians Foundation/Merritt Hawkins. 2014
One explanation for this is that many Texas doctors remain in private practice, and it is private practice
physicians who feel the most alienated from today’s medical practice environment. Rising costs,
declining reimbursement, increased paperwork, additional regulatory oversight, and the stresses of
running a business fall harder on independent doctors than they do on employed physicians. The chart
below indicates the connection between private, independent practice and low physician morale.
Physician Morale by Practice Status
Employed
Private/Independent
Very/Somewhat Positive
50.5%
33.1%
Very/Somewhat Negative
49.5%
66.9%
Physicians with low professional morale are more likely to make changes in their practices than are
those with high morale, including retirement, working part-time, reducing number of patients seen, and
transitioning to concierge medicine. It therefore can be expected that a significant number of Texas
physicians, whose morale is comparatively low, will seek and embrace alternate practice styles, reducing
net physician FTEs.
Employment and Productivity
It is likely that the corporate practice of medicine law in Texas, which limits the number of entities that
can employ physicians, has contributed to the high number of Texas physicians who have remained
independent. However, the parameters of the law have broadened recently, allowing Texas physicians
to have more latitude to seek employment with hospitals, and to also be employed by medical groups
and other physician owned entities. As more Texas physicians become employed, overall physician
productivity can be expected to decrease. According The Physicians Foundation’s 2014 Survey of
America’s Physicians, independent, private practice physicians see 8.5% more patients per day than do
employed physicians.
THE IMPACT OF GENDER
Approximately one-third (33%) of physicians in the United States are female, up from just 12% in 1981,
according to Medical Marketing Systems (MMS). The number of female physicians has increased by
400% since 1981, while male physician ranks have increased by only 52%. The overall physician
population has increased 35% since 1981.
73 | P a g e
Following is a breakout of the percent of physicians who are female nationally and in Texas.
Percent of Physicians Who Are Female
United States
Texas
Rank
33%
31%
26th
Source: American Medical Association Physician Master File
Females compose a slightly smaller percentage of the workforce compared to the national physician
workforce, ranking 26th among states in this regard. However, the number of female physicians in Texas
is growing rapidly, as it is nationwide. The number of female Texas physicians almost doubled in the last
ten years, growing from 8,626 in 2003 to 16,804 in 2013, a 94.8% growth rate. (Report of Committee on
Physician Distribution and Healthcare Access, Texas Medical Association). The number of female
physicians in Texas grew three times faster than the number of male physicians in that time frame.
Growth in the number of female physicians represents social progress, but also has significant workforce
implications. Female physicians work approximately 8% fewer hours than do male physicians, according
to The Physicians Foundation’s 2014 Survey of America’s Physicians, and see 13.3% fewer patients per
day (see charts below). As the number of female doctors grows, both nationally and in Texas, overall
physician productivity and FTE count can be expected to decline.
Hours Worked Per Week Male and Female Physicians
Male
54.12
Female
50.28
Patients Seen Per Day/Male and Female Physicians
Male
20.5
Female
18.1
Source: A Survey of America’s Physicians. The Physicians Foundation/Merritt Hawkins
Over half of students entering medical school today are female, and if current trends persist, half of
physicians will be female, leading to a loss of thousands of physician FTEs. If today half of Texas’ 46,953
physicians were female, rather than 31%, some 713 FTEs would be lost, given an 8% reduction in
productivity.
TEAM-BASED MODELS, PAs AND NPs
Healthcare is embracing a team-based delivery model in which patient care duties will be more
appropriately distributed to a wider range of health professionals, including advanced practitioners such
as physician assistants (PAs) and nurse practitioners (NPs). In the medical home model, primary care
physicians will be the “quarterbacks” of the team, ensuring work is allocated appropriately among PAs,
NPs, pharmacists, nurses, therapists, case managers, specialty physicians and others. Through more
74 | P a g e
appropriate work allocation, and with each provider practicing to the top of his or her training, some
practice efficiencies may be gained and physician time and access increased.
There currently are 190,802 NPs in the U.S., or 60 per 100,000 population. There are 11,074 NPs in
Texas, or 42 per 100,000 population, less than the national average. There are 104,337 PAs in the U.S.,
or 33 per 100,000, while there are 6,898 in Texas, or 26 per 100,000.
Texas has fewer advanced
practitioners than the national average and will need to train and attract more to supplement (though
not to replace) the physician workforce.
EMPLOYMENT, CONSOLIDATION AND AFFILIATIONS
For a variety of reasons, a growing number of physicians are seeking employment by hospitals. Hospital
employment may be seen by physicians as a safe harbor from increasing government and third party
payer compliance issues, escalating costs, flat or declining reimbursement, electronic health record
(EHR) implementation, and other challenges physicians face in today’s evolving healthcare market.
The changing nature of the physician search assignments that Merritt Hawkins conducts nationally
reflects this trend. In 2004, 11% of Merritt Hawkins’ search assignments featured settings in which the
recruited physician was to be employed by a hospital. By 2014, that number grew to 64% (see chart
below).
Merritt Hawkins Search Assignments Featuring Hospital Employment of Physicians
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
11%
19%
23%
43%
45%
45%
51%
56%
63%
64%
64%
Source: Merritt Hawkins 2014 Review of Physician and Advanced Practitioner Recruiting Trends
A growing number of other entities in addition to hospitals also are employing physicians, including
large medical groups, urgent care centers, health insurance companies, retail clinics, FQHCs, surgery
centers and others. According to Merritt Hawkins’ data, over 90% of newly hired physicians in 2014
were employed by a hospital, medical group or other entity, while fewer than 10% were recruited into a
private practice (Merritt Hawkins 2014 Review of Physician and Advanced Practitioner Recruiting
Incentives). A list of hospitals in Texas that are potential physician employers, showing in some cases the
number of physicians on staff, is included in Appendix C of this report.
75 | P a g e
A study of physician practice arrangements released by the American Medical Association in September,
2013, showed that a slight majority of physicians (53.2%) remain in self-employed, private practices (see
chart below).
Selected Findings of AMA 2013 Practice Arrangement Study
Self-employed physicians, U.S
Self-employed physicians (under 40)
Self-employed (family practice)
Self-employed (internal medicine)
Self-employed (surgical subspecialties)
Self-employed (internal medicine subspecialties)
Self-employed, 1988
Self-employed, 2001
Self-employed, 2008
Working in practices wholly owned by physicians
Working for practice wholly or partially owned by a hospital
Physicians in solo practice
Physicians in single-specialty practice
53.2%
43.0%
39.8%
46.0%
71.9%
61.5%
72.1%
61.0%
56.3%
60.0%
29.0%
18% (24% in 2007)
45.5%
Source: Policy Research Perspectives: New Data on Physician Practice Arrangements: Private Practice
Remains Strong Despite Shifts Toward Hospital Employment. American Medical Association. September,
2013
However, these numbers reflect 2012 data. The Physicians Foundation’s 2014 Survey of America’s
Physicians, based on 2014 data, shows a lower number of physicians now in private practice (see chart
below) and may be more indicative of a market rapidly evolving toward the employed physician model.
Practice Status of U.S. Physicians
Employed by a hospital
Employed by a medical group
Practice owner/Partner/Associate
Other
30.5%
22.4%
34.6%
12.5%
Source: A Survey of America’s Physicians. The Physicians Foundation/Merritt Hawkins. 2014
These data suggest that only about 35% of physicians remain in self-employed status nationwide, while
the remainder are either employees or in other practice status that may be considered “quasiemployed” or “quasi-independent,” depending on one’s perspective.
As a sign of the future, a greater number of younger physicians indicate they are employed than do
older physicians (see chart below):
Practice Status of Physicians by Age
Employed by a hospital or group
45 or younger
65.7%
46 or older
25.7%
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Source: A Survey of America’s Physicians. The Physicians Foundation/Merritt Hawkins. 2014
It is widely perceived that younger physicians are less inclined to be interested in private practice than
are older physicians, as they put a greater premium on personal time and lifestyle considerations. In
Merritt Hawkins’ 2015 Survey of Final-Year Medical Years, 76% of physicians completing their training in
2014 indicated they would prefer employment by a hospital, medical group or other entity to an
employed setting in their first practice.
As referenced above, Texas remains one of the last bastions of independent practice, but even in Texas,
with its corporate practice of medicine law, less than 50% of physicians are independent (see chart
below).
Independent Physicians by State
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
Louisiana
Texas
New Jersey
Illinois
Arkansas
Hawaii
Idaho
Arizona
Utah
Tennessee
Alabama
Nevada
Michigan
North Carolina
Connecticut
South Carolina
Georgia
California
Florida
Wyoming
Colorado
Washington
Mississippi
Montana
Oregon
52.0%
48.6%
44.6%
44.2%
43.3%
42.4%
41.9%
39.2%
38.2%
38.1%
37.9%
37.9%
37.8%
37.7%
37.1%
37.0%
36.5%
36.3%
36.2%
35.3%
34.3%
33.7%
33.3%
33.3%
33.3%
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
New York
Rhode Island
Virginia
West Virginia
Delaware
Ohio
Iowa
Nebraska
Pennsylvania
Kentucky
Kansas
Maryland
Missouri
Oklahoma
Maine
Vermont
Minnesota
Massachusetts
Alaska
Indiana
New Mexico
New Hampshire
South Dakota
Wisconsin
North Dakota
33.2%
32.9%
32.9%
32.9%
31.1%
30.6%
30.4%
29.6%
29.1%
28.6%
28.3%
27.6%
27.6%
25.8%
24.4%
22.9%
22.7%
22.6%
19.4%
19.2%
18.4%
18.3%
16.7%
12.0%
6.6%
Source: A Survey of America’s Physicians. The Physicians Foundation/Merritt Hawkins. 2014
77 | P a g e
As these numbers show, Texas has the second highest number of independent physicians after
Louisiana. This number was corroborated by independent data obtained through physician data firm
SK&A, which indicate 45% of Texas physicians remain in independent practice (see chart below).
Independent/ Group Medical Practice (GMP) Affiliations /Employed Physicians in Texas
2%
Independent (45%)
7%
Traditionally Employed (36%)
10%
45%
Employed by GMP affiliated with Hospital
System (10%)
Employed by GMP affiliated with Large
Independed Group (7%)
Employed by GMP affiliated with National
Group (2%)
36%
Source: SK&A, 2014
These employed or affiliated arrangements can be illustrated by listing some of the more prominent
physician organizations in Texas, the number of physicians in each, and their practice arrangement (i.e.,
whether independent or affiliated) as well as the largest health systems in Texas and the number of
physicians affiliated with each (see charts below):
Hospital, Large Medical Group, and National Organization Affiliations
Employed by GMP affiliated
with Hospital System
Group Medical Practice
Scott & White Clinic
Employed by GMP affiliated with
Large Independent Group
Physician Count
930
Employed by GMP affiliated
with National Group
Hospital or Affiliation Description
Baylor Scott & White Health System
Health Texas Provider Ntwk
480
Baylor Scott & White Health System
UT Physicians Houston
429
UT Health System
Texas Health Physicians Group
386
Texas Health Resources Health System
Texas Oncology PA
368
Cook Childrens Hematology & Onc
318
Independent oncology practice with more than
375 physicians
Cook Children’s Health System
Kelsey-Seybold Clinic
306
CHI- National HC System
UT Medicine San Antonio
304
UT Health System
Austin Regional Clinic
274
Independent group employs 285 physicians
Pinnacle Anesthesia Consultants
231
Independent group employs 325 physicians
FM 1960 Pediatric Center
210
Texas Children's Hospital (Affiliated with Baylor School
of Med)
78 | P a g e
Greater Houston Anesthesiology
202
Independent group employs over 300 physicians
Trinity Clinic Primary Care
193
Trinity Mother Frances Hospitals and Clinics
USMD
189
Independent group employs more than 250 physicians
Pediatrix Medical Group
171
MEDNAX National Group- Employs more than 1600
Covenant Medical Group
148
Independent group employs over 600 physicians
Texas Health Care PLLC
142
Independent group employs over 140 physicians
Shannon Clinic
135
Shannon Health System
Emergency Service Partners
131
Independent group employs over 300 providers
Star Anesthesia
125
Independent group employs over 160 physicians
Memorial Hermann Medical Group
121
Memorial Hermann Health System
ETMC First Physicians
115
ETMC employs over 600 providers
Wellmed
110
Wellmed- National HC System (TX & FL)
Austin Diagnostic Clinic
107
Independent group employs over 120 physicians
Radiology Associates Tarrant
100
Austin Radiological Association
94
Tejas Anesthesia
87
Independent group employs over 120 (Radiology
Associates of North Texas)
Independent group employs more than 1500 (Strategic
Radiology National Group)
Independent group employs over 80 physicians
Baylor College Of Medicine
82
Baylor Medical School
QuestCare
80
National HC System- Employs over 750
Diagnostic Clinic Of Longview P
79
Independent group employs over 90 physicians
Collom & Carney Clinic
77
Independent group- Collom & Carney Clinic Association
Texas Radiology Associates LLP
70
Independent group employs over 75 physicians
Digestive Health Assocs Of TX
67
Independent group employs over 75 physicians
IPC The Hospitalist Company
67
CareNow
65
IPC Healthcare- Approximately 1,800 providers
(national)
Independent group employs over 50 Physicians
Capitol Anesthesiology Assocs
62
Independent group employs over 80 physicians
Concentra Urgent Care
61
UNT Physicians Group
61
National HC System- more than 900 affiliated primary
care physicians
UNT Medical School
Heart Place
59
Independent group employs over 70 physicians
Austin Anesthesiology Group
58
Independent group employs over 65 physicians
Beaumont Radiology Associates
56
Christus Medical Group
55
BHS Physicians Network- independent group employs
over 90 physicians
CHRISTUS Health System
Houston Eye Associates
54
Independent group employs over 60 physicians
South Texas Radiology
54
Family Healthcare Associates
52
South Texas Radiology Group, P.A. - independent
employs 60 physicians
Independent group employs over 50 physicians
Dallas Nephrology Associates
52
Independent group employs over 70 physicians
Fresenius Medical Group
52
National HC provider- employs 60,000 total
Ameripath
42
National Group- Employs 400 pathologists and Ph.D.level scientists
79 | P a g e
Nextcare Urgent Care
38
National Group- 100 locations in 11 states
EmCare Nationwide
31
Planned Parenthood
10
EmCare has more than 700 exclusive contracts with
client hospitals in nearly 42 states
National Group- Employs 27,000 (Volunteers included)
Source: SK&A, 2014
Top 10 Largest System Affiliations
Health System
Physician Count
Texas Health Resources (Arlington TX)
1,719
Baylor Health Care System (Dallas TX)
Memorial Hermann Health System
(FKA: Memorial Hermann Healthcare System) (Houston TX)
HCA North Texas Division (Irving TX)
1,596
1,582
1,016
Houston Methodist (FKA: Methodist Hospital System) (Houston TX)
918
HCA Gulf Coast Division (Houston TX)
834
Scott & White Memorial Healthcare (Temple TX)
772
Community Health Systems (CHS) (Franklin TN)
736
Methodist Health System Of San Antonio (San Antonio TX)
719
St David’s Healthcare (Austin TX)
684
Source: Definitive Healthcare Database, 2014
As the healthcare system evolves, physician relationships with various entities are likely to become more
complex, as are the relationships with other often “free-standing” businesses. Just as it may be difficult
to know what corporation owns or is affiliated with a restaurant, it will become more difficult for
consumers to trace the ownership or affiliation status of the physicians they see. Some physicians with
offices on hospital campuses may be independent, while some in traditional corner offices may be
hospital employed.
Texas reflects this trend, with recent noted consolidation activity including the landmark merger
between the Baylor hospital system and the physician-owned Scott & White clinics. The 2013 merger
created a sprawling health system composed of 43 hospitals, 500 patient care sites of service, and over
6,000 affiliated physicians.
Similarly, in 2011, Texas Health Resources, a North Texas based system
composed of 25 hospitals, acquired Medical Edge Healthcare Group, a medical group composed of some
420 physicians, physician assistants and nurse practitioners with 250 patient access points.
Other physician groups in Texas have grown through consolidation. An example is USMD (formerly,
Medical Clinic of North Texas), which in 2000 was composed of 56 physicians in four specialties, but due
largely to consolidation grew to 130 physicians in nine specialties by 2009. USMD now has 211
physicians in 16 specialties after merging with Urology Associates of North Texas.
These evolving relationships are being given impetus in part by the growing limits the Texas legislature is
placing on the statewide ban on the practice of corporate medicine, which prohibits hospitals from
employing physicians. In 2011, then Governor Rick Perry signed into law a bill that expands those
hospitals that qualify for an exception to the ban. The law allows critical access hospitals, sole
community hospitals, and hospitals in counties with populations of 50,000 or less (nearly 200 of the
80 | P a g e
state’s 254 counties) to employ physicians. The legislature made similar concessions in the past for
private nonprofit medical schools, school districts, some non-profit health organizations and certain
hospital districts. It is generally believed that an end to the ban is probable somewhere in the future.
POPULATION MANAGEMENT AND ACCOUNTABLE CARE ORGANIZATIONS (ACOs)
The ACA, combined with market forces that are driving health insurance costs for companies and
individuals to unsustainable levels, is driving much of this consolidation and integration. It is believed
by many policy analysts and healthcare professionals that integrated health systems composed of
hospitals, doctors, management teams, and robust information technology resources offer the best
model to control costs and ensure quality.
The ACA encourages the formation of Accountable Care Organizations (ACOs) that implement this
model, are designed to manage the health of large populations, and are financially rewarded for cost
effectiveness and for achieving positive health outcomes for patients.
An increasing number of physicians nationally and in Texas are affiliated with an ACO (see charts below):
Texas Physicians
Affiliated with ACOs
23%
77%
ACO Affiliated
No ACO Affiliations
Health Record Type
1%
99%
Group Medical Practice
Accountable Care Organization
81 | P a g e
Top ACO Affiliated by Counties
22%
HARRIS
38%
DALLAS
COLLIN
TARRANT
BELL
18%
REMAINING COUNTIES
7%
7%
8%
ACO Initiated By:
3%
29%
39%
Hospital
Integrated Health System
Payer
Physician
29%
Source: SK&A, 2014
While SK&A indicates 23% of Texas physicians are affiliated with ACOs, The Physicians Foundation’s
2014 Survey of America’s Physicians indicates a slightly lower number and suggests Texas ranks 39th out
of 50 states in physician ACO participation (see chart below):
Physicians Participating in ACOs by State
1
2
Vermont
Wisconsin
56.3% 26
47.8% 27
North Dakota
Arkansas
25.8%
24.8%
82 | P a g e
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
New Hampshire
Massachusetts
Iowa
Oregon
Maine
Minnesota
Michigan
Idaho
Connecticut
Indiana
Illinois
Hawaii
Ohio
Georgia
South Dakota
Washington
Nebraska
New Jersey
Arizona
Nevada
California
New York
Utah
46.6%
44.6%
40.4%
39.5%
37.5%
37.3%
34.5%
33.3%
32.6%
32.6%
32.4%
30.6%
30.3%
28.6%
28.6%
28.6%
28.4%
28.3%
27.7%
27.4%
26.9%
26.0%
26.0%
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
Missouri
Rhode Island
Virginia
West Virginia
Kentucky
North Carolina
South Carolina
Colorado
Tennessee
Maryland
New Mexico
Texas
Montana
Oklahoma
Alaska
Pennsylvania
Florida
Delaware
Mississippi
Alabama
Wyoming
Louisiana
Kansas
23.6%
23.6%
23.6%
23.6%
23.5%
23.3%
22.5%
21.7%
21.7%
20.9%
20.6%
19.5%
18.9%
18.7%
18.4%
18.3%
17.7%
17.6%
16.8%
13.4%
11.8%
11.2%
9.4%
Source: A Survey of America’s Physicians. The Physicians Foundation/Merritt Hawkins. 2014
Currently, CMS indicates there are 337 Medicare designated ACOs nationwide. As of May 2014, Leavitt
Partners is actively tracking 626 ACOs of all kinds (Medicare and non-Medicare) across the United
States. Of these 626 ACOs, 329 have government contracts, 210 have commercial contracts and 74 have
both government and commercial contracts. The remaining 13 ACOs have not made specific
announcements about the nature of their accountable care contracts or are in the process of finalizing
contracts that are not yet active.
Source: Petersen, M., Gardner, P., Tu, T., & Muhlestein, D. (2014, June 1). Growth and Dispersion of
Accountable Care Organizations: June 2014 Update.
In Texas, there are 49 ACOs (see list below), which cover about 5-10% of Texas’ population, with higher
penetration in urban areas of the state. Many counties have no ACOs, while some counties have
multiple ACOs (see graphics below).
ACO Facilities Associated With Physicians in Texas
Accountable Care Coalition Of Greater Athens Georgia I
Methodist Patient Centered ACO
Accountable Care Coalition of Greater Houston, LLC.
Patient Physician Network & Cigna
Accountable Care Coalition Of North Texas LLC
Physicians ACO LLC
83 | P a g e
Accountable Care Coalition Of Texas Inc
Plus Accountable Care Organization
ACO Providers
Premier Family Physicians @ Southwest Medical
Village
Premier Patient Healthcare LLC
Adventist Health Network Cigna
AllCare IPA & Doctors Medical Center & Blue Shield Of
California
Amarillo Legacy Medical ACO
Renaissance Physiciaan Organization & Cigna
Baptist Health System/HealthTexas Medical Group &
Aetna
Baylor Quality Alliance
RGV ACO Health Providers, LLC
BHS Accountable Care LLC
Renaissance Physician Organization
Rio Grande Valley Health Alliance, LLC
Buena Vida Y Salud
Scott & White Healthcare Walgreens Well Network
LLC
Seton Health Alliance
Covenant Health Partners
Seton Health Alliance & Aetna
Essential Care Partners
Seton Health Alliance & UnitedHealth Care
Essential Care Partners II LLC
SSM ACO LLC & Anthem Blue Cross Blue Shield
Fresenius Medical Care North America & Aetna
St Joseph Health Partners ACO
Genesis Accountable Physician Network, LLC
HealthTexas Provider Network & Cigna
St Lukes Episcopal Hospital Independent Practice
Association INC & Cigna
Sunshine ACO LLC
Heritage California ACO
SW Provider Partners LLC
Heritage Provider Network & Anthem Blue Cross Of
California
Integrated ACO LLC
Tenet Healthcare Corporation & Humana INC
Medical Clinic Of North Texas & Cigna
Texoma ACO LLC
Medical Clinic Of North Texas PLLC
UPSA ACO
Memorial Hermann Accountable Care Organziation
UT Southwestern Accountable Care Network
Texas Health Resources & Aetna
Meridian Health Systems ACO Corporation
Sources: SK&A and CMS.gov
Estimated ACO Penetration by State
84 | P a g e
Source: Leavitt Partners Center for Accountable Care Intelligence
Estimated ACO Penetration by Hospital Referral Region
Source: Leavitt Partners Center for Accountable Care Intelligence
In more than half of states, a majority of people have access to an ACO
Updated as of January 2014
Sources: News releases, company websites, Dartmouth Atlas PCSAs, Claritas, Oliver Wyman analysis
1. ACOs defined as providers participating in Pioneer ACO, Medicare Shared Savings, a Medicaid ACO,
PGP Transition, or in a shared savings/risk arrangement with a commercial payer; Prep activity defined
as participation in a learning collaborative or providers preparing to become an ACO
85 | P a g e
MSSP and Pioneer ACO Counts by County
Source: Centers for Medicare and Medicaid Services, 2014
It is difficult to determine how many Texas physicians are affiliated with each ACO on the above list.
However, as the data above show, the total is between 19.5% (9,155 physicians) and 23% (10,799
physicians). The ultimate success of this model, and whether or not these ACOs will prosper or survive,
is still an open question. However, reimbursement systems for both hospitals and physicians, led by
CMS, clearly are moving away from volume based models and toward value-based models. On January
27, 2015 federal officials announced an accelerated effort to shift payment from volume to value based
metrics. The goal is to grow value-based Medicare payment to 50% by the end of 2018, a move likely to
promote physician/hospital affiliation and the employment of physicians in Texas and nationally. Some
form of organization such as ACOs, which can manage the health of large populations within a fixed
budget, are likely to be prevalent in the future, and a significant number of physicians will be affiliated
with them.
MEANINGFUL USE
The ACA has encouraged the adoption of electronic health records (EHR) by physicians in order to
improve quality, increase efficiency, and promote care integration. Funds have been provided by the
federal government for physicians who adopt EHR and follow Meaningful Use guidelines.
The chart below shows the number of physicians in Texas and others states who have implemented EHR
in their practices:
1
Physicians Who Have Implemented EHR by State
Wisconsin
95.4%
87.4%
26 Tennessee
86 | P a g e
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
North Dakota
South Dakota
Minnesota
Wyoming
Indiana
Iowa
Oregon
Nebraska
Missouri
New Hampshire
Rhode Island
Virginia
West Virginia
Massachusetts
Washington
Delaware
Colorado
North Carolina
Alabama
Arkansas
Montana
Vermont
New Mexico
Ohio
95.2%
95.2%
95.1%
93.7%
92.4%
91.8%
91.8%
91.5%
90.1%
89.3%
89.0%
89.0%
89.0%
88.6%
88.3%
88.2%
87.9%
87.7%
87.5%
87.5%
87.5%
87.5%
87.4%
87.4%
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
Kansas
Utah
California
Michigan
Oklahoma
Maryland
Arizona
Idaho
Georgia
Illinois
Maine
Nevada
Pennsylvania
South Carolina
Alaska
Kentucky
Mississippi
Hawaii
Florida
Connecticut
New York
Texas
Louisiana
New Jersey
87.3%
87.1%
86.7%
86.5%
86.4%
85.6%
85.5%
85.5%
85.1%
84.8%
84.8%
84.5%
84.2%
84.2%
83.8%
83.8%
83.8%
82.4%
82.3%
80.0%
79.8%
79.5%
77.3%
73.8%
Source: A Survey of America’s Physicians. The Physicians Foundation/Merritt Hawkins. 2014
Though the majority of Texas physicians have implemented EHR, Texas has a low rate of physician EHR
implementation relative to other states.
Stage 1 Meaningful Use Payments Received in Texas:
This information was available for a smaller population of the total 39,237 physicians listed in the Excel
spreadsheet attached to this report. Only 30,891 were reviewed in this section.
Payment amount per physician accumulated from 2011-2014 for Stage 1 Meaningful Use
requirements met (Medicare Only):
PHYSICIAN COUNT:
TOTAL AMOUNT:
AVERAGE:
HIGH:
LOW:
OVERALL
12,513
$314,549,096.58
$25,137.78
$41,760.00
$2.00
PRIMARY CARE
3,830
$97,016,199.25
$25,330.60
$41,760.00
$2.00
SPECIALIST
8,683
$217,532,897.33
$25,052.73
$41,760.00
$23.66
87 | P a g e
Percentage of Meaningful Use Payments Given
24.67%
$0
≥ $999
$1,000-$9,999
$10,000-$24,999
59.49%
14.23%
$25,000 +
1.44%
0.13%
Source: Definitive Healthcare, 2014
General Information:


More than $17.2 billion in Medicare EHR Incentive Program payments have been made between
May 2011 and November 2014.
More than $8.7 billion in Medicaid EHR Incentive Program payments have been made between
January 2011 (when the first set of states launched their programs) and November 2014.
State
Texas
Program Type
Medicare
Provider Type
EP
Count
30,190
Amount
$406,134,926.22
Average/Provider
$13,452.63
Source: Centers for Medicare & Medicaid Services, cms.gov, May 2014
It is to be hoped that EHR will increase physician productivity and allow more time for patient care,
thereby enhancing some of the physician FTEs lost to changing physician work patterns and choices
enumerated above.
88 | P a g e
CONCLUSION
Physician distribution, accessibility, demographic trends, practice patterns, and practice affiliations in
Texas are distinguished by several prevailing characteristics. Texas has fewer physicians per capita than
the national average, and is experiencing acute physician shortages in many of its counties. Shortages
are centered in rural areas, but are not confined to them. They are present in both primary care and in
a number of key medical specialties. While Texas is adding and retaining from graduate medical
education a large number of physicians, this number is insufficient to address physician access
limitations in the state, and considerably more doctors will need to be trained in Texas and attracted to
it from other areas to ensure reasonable access to services.
In addition, the aging physician population, the rapid increase in female physicians, and the prevailing
practice patterns of Texas physicians are likely to significantly reduce overall physician FTEs. In
particular, Texas physicians participate in Medicaid, Medicare and state insurance exchanges in
relatively low numbers, and patients insured through these programs are likely to have difficulty
accessing doctors. Texas physicians also plan to make changes in their practices, such as retirement,
working part-time, seeking non-clinical jobs, or transitioning to concierge medicine – all choices that will
further reduce physician FTEs.
Though Texas is second in the nation in physicians who remain in private practice, the practice status of
Texas physicians is rapidly evolving. Fewer than 50% of Texas physicians remain in private practice and
a growing number are employed by or affiliated with large health systems and/or Accountable Care
Organizations. Though it may lead to cost efficiency and quality gains, this trend is likely to further
erode physician productivity and overall physician FTEs. Though the majority of Texas physicians have
implemented EHR, Texas physicians trail those in most other states in EHR implementation. Physician
productivity in Texas may eventually be enhanced, and some FTEs gained, through EHR implementation.
For more information about this study, contact:
Merritt Hawkins
Phillip Miller
469-524-1420
[email protected]
NTREC
Richard Howe
469-648-5044
[email protected]
89 | P a g e
HPSA DESIGNATED COUNTIES AND SERVICE AREAS IN TEXAS
Criteria:
State: Texas
County: All Counties
ID: All
Date of Last Update: All Dates
HPSA Score (lower limit): 0
Discipline: Primary Medical Care, Dental, Mental Health
Metro: All
Status: Designated
Type: All
Results: 2577 records found.
(Satellite sites of Comprehensive Health Centers automatically assume the HPSA score of the affiliated grantee. They are not listed separately.)
HPSA Name
ID
Type
FTE *
Score
748001
HPSA Geographic
Single County
1
15
748003
HPSA Geographic
Single County
HPSA Population
Single County
0
12
1
16
HPSA Geographic High Needs
Single County
HPSA Population
Single County
HPSA Geographic High Needs
Single County
3
14
4
14
19
9
HPSA Geographic
Single County
HPSA Geographic
Single County
HPSA Geographic High Needs
Single County
1
16
4
12
5
7
148009
HPSA Geographic
Single County
1
15
148999488Q
748011
Rural Health Clinic
HPSA Geographic
Single County
HPSA Geographic
Single County
HPSA Geographic
Single County
0
0
8
0
14
0
5
001 - Anderson County
Anderson County
Anderson
003 - Andrews County
Andrews County
Andrews
Low Income - Andrews County
Andrews
14899948E1
005 - Angelina County
Angelina County
Angelina
Low Income - Angelina County
Angelina
Angelina County
Angelina
748005
148999482Z
648005
007 - Aransas County
Aransas County
Aransas
Aransas County
Aransas
Aransas County
Aransas
748007
148007
648007
009 - Archer County
Archer County
Archer
011 - Armstrong County
Claude Medical Clinic
Armstrong County
Armstrong
Armstrong County
Armstrong
Armstrong County
Armstrong
148011
648011
A |Appendix
013 - Atascosa County
Atascosa Healthcare
Atascosa Healthcare
Atascosa Healthcare
Atascosa County
Atascosa
Atascosa County
Atascosa
Atascosa County
Atascosa
148999485T
64899948B2
748999482K
748013
148013
648013
Comprehensive Health Center
Comprehensive Health Center
Comprehensive Health Center
HPSA Geographic
Single County
HPSA Geographic
Single County
HPSA Geographic
Single County
1
0
9
18
12
15
12
11
8
11
HPSA Geographic
Single County
HPSA Geographic
Single County
0
12
5
11
Rural Health Clinic
Rural Health Clinic
Rural Health Clinic
HPSA Geographic High Needs
Single County
HPSA Population
Single County
0
0
0
0
16
17
20
14
1
14
HPSA Geographic
Single County
HPSA Geographic
Single County
0
13
2
15
Correctional Facility
Correctional Facility
HPSA Geographic
Single County
HPSA Geographic
Single County
HPSA Geographic
Single County
0
0
2
18
15
13
21
8
13
7
0
0
12
015 - Austin County
Austin County
Austin
Austin County
Austin
748015
148015
017 - Bailey County
Muleshoe Area Medical Clinic
Muleshoe Area Medical Clinic
Muleshoe Area Medical Clinic
Bailey County
Bailey
Low Income - Bailey County
Bailey
148999483D
648999480U
748999483T
748017
14899948D5
019 - Bandera County
Bandera County
Bandera
Bandera County
Bandera
748019
148019
021 - Bastrop County
Federal Correctional Institution - Bastrop
Federal Correctional Institution - Bastrop
Bastrop County
Bastrop
Bastrop County
Bastrop
Bastrop County
Bastrop
1489994889
6489994828
748021
148021
648021
023 - Baylor County
Seymour Hosptial Rural Health Clinic
Baylor County
Baylor
14899948A5
748023
Rural Health Clinic
HPSA Geographic High Needs
Single County
14899948E5
148999488K
148999488J
64899948K1
648999480B
748999484L
748999480O
Rural Health Clinic
Rural Health Clinic
Rural Health Clinic
Rural Health Clinic
Rural Health Clinic
Rural Health Clinic
Rural Health Clinic
025 - Bee County
La Bahia Clinic
Beeville Family Practice
Christus Spohn Women's Health Center
La Bahia Clinic
Beeville Family Practice
La Bahia Clinic
Beeville Family Practice
0
0
0
10
0
0
7
0
16
A |Appendix
Bee County
Bee
Bee County
Bee
Bee County
Bee
748025
148025
648025
HPSA Geographic
Single County
HPSA Geographic High Needs
Single County
HPSA Geographic High Needs
Single County
0
15
8
11
6
7
Comprehensive Health Center
Comprehensive Health Center
Comprehensive Health Center
Comprehensive Health Center
Comprehensive Health Center
Comprehensive Health Center
HPSA Geographic
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
1
1
13
13
14
15
11
17
15
027 - Bell CountyNo HPSAs in this county.
029 - Bexar County
El Centro Del Barrio
Barrio Comprehensive Health Center
El Centro Del Barrio
Barrio Comprehensive Health Center
El Centro Del Barrio
Barrio Comprehensive Health Center
San Antonio South East
1103
1109
1110
1302
1303
1304.01
1304.02
1305
1306
1307
1308
1309
1310
1311
1312
1313
1401
1402
1403
1404
1405
1406
1407
1408
1409
1410
1411.01
1411.02
1412
1413
1414.03
1414.04
1507
1508
1509
1515
148999485V
148999485R
64899948B4
64899948B1
748999482M
748999482J
74899948MG
4
A |Appendix
1516
1517
1919
1921
1922
San Antonio South West
1105
1106
1501
1503
1504
1505.01
1505.02
1506
1510
1511
1512
1513.01
1513.02
1514
1601
1602
1603
1604
1605.01
1605.02
1606
1607.01
1607.02
1609.01
1609.02
1610
1611
1613.02
1613.03
1613.04
1614
1615.01
1615.03
1615.04
1616
1701.01
1701.02
1702
1703
1704.01
1704.02
1707
1708
1709
1710
1711
74899948MH
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
HPSA Geographic High Needs
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
9
18
A |Appendix
1712
1714.01
1714.02
1715.01
1715.02
1716.01
1716.02
1717
1718.01
1718.02
1719.03
9800.02
9801
San Antonio (Far East Side)
1304.02
1305
1306
1308
1309
1310
1311
1312
1313
San Antonio (West Side)
1105
1106
1107
1108
1601
1602
1603
1604
1605.01
1605.02
1606
1607.01
1607.02
1701.01
1701.02
1702
1703
1704.01
1704.02
1706
1707
1708
1709
1710
1711
1712
1713.01
1713.02
148999481X
1489994827
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
HPSA Geographic
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
HPSA Geographic High Needs
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
9
10
51
9
A |Appendix
1714.01
1714.02
1715.01
1715.02
1716.01
1716.02
1901
1902
1921
Northwest Bexar
1803
1804
1805.01
1805.03
1805.04
Low Income - San Antonio (Southside)
1402
1403
1404
1405
1406
1407
1408
1409
1410
1411.01
1411.02
1412
1413
1414.02
1414.03
1414.04
1416
1417
1418
1501
1503
1504
1505.01
1505.02
1506
1507
1508
1509
1510
1511
1512
1513.01
1513.02
1514
1515
1516
148999484C
148999489A
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
HPSA Geographic High Needs
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
HPSA Population
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
4
13
0
18
A |Appendix
1517
1519
1520
1521
1522.01
1522.02
1609.01
1609.02
1610
1611
1612
1613.02
1613.03
1613.04
1614
1615.01
1615.03
1615.04
1616
1618.01
1618.02
1619.01
1619.02
1620.01
1620.03
1620.04
1922
9800.02
9800.03
9801
West Side San Antonio
1105
1106
1107
1108
1601
1602
1603
1604
1605.01
1605.02
1606
1607.01
1607.02
1614
1616
1701.01
1701.02
1702
1703
1704.01
1704.02
6489994820
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
HPSA Geographic
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
34
11
A |Appendix
1705
1706
1707
1708
1709
1710
1711
1712
1713.01
1713.02
1714.01
1714.02
1715.01
1715.02
1716.01
1716.02
1717
1718.01
1718.02
1803
1804
1805.01
1805.03
1805.04
1806.03
1806.04
1816.01
1816.02
1901
9801
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
031 - Blanco County
Blanco County
Blanco
Blanco County
Blanco
748031
148031
HPSA Geographic
Single County
HPSA Geographic
Single County
0
11
1
13
HPSA Geographic
Single County
HPSA Geographic
Single County
HPSA Geographic
Single County
0
5
0
7
0
5
HPSA Geographic
Single County
HPSA Geographic
Single County
0
14
5
11
Correctional Facility
Correctional Facility
0
0
12
12
033 - Borden County
Borden County
Borden
Borden County
Borden
Borden County
Borden
748033
148033
648033
035 - Bosque County
Bosque County
Bosque
Bosque County
Bosque
748035
148035
037 - Bowie County
Federal Correctional Institution - Texarkana
Federal Correctional Institution - Texarkana
148999484N
6489994880
A |Appendix
Bowie County
Bowie
748037
HPSA Geographic
Single County
6
15
3
13
16
12
12
039 - Brazoria County
Stephen F. Austin Community Health Center,
Stephen F. Austin Community Health Center,
Stephen F. Austin Community Health Center,
Sweeny West Columbia
Brazoria-West Columbia
14899948M2
64899948L4
74899948A1
148999487G
Comprehensive Health Center
Comprehensive Health Center
Comprehensive Health Center
HPSA Geographic
Minor Civil Division
148999485K
64899948A2
748999481Z
748041
Comprehensive Health Center
Comprehensive Health Center
Comprehensive Health Center
HPSA Geographic
Single County
HPSA Geographic High Needs
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
1
041 - Brazos County
Brazos Valley Community Action
Brazos Valley Community Action
Brazos Valley Community Action
Brazos County
Brazos
Western Brazos
10
2.01
2.02
4
5
9
148999483Z
5
8
12
16
16
0
16
HPSA Geographic High Needs
Single County
HPSA Population
Single County
0
15
0
17
HPSA Geographic High Needs
Single County
HPSA Geographic
Single County
HPSA Geographic High Needs
Single County
0
12
0
16
0
10
HPSA Geographic
Single County
HPSA Geographic High Needs
Single County
HPSA Geographic High Needs
Single County
0
15
2
13
1
16
HPSA Geographic
Single County
HPSA Geographic High Needs
Single County
1
17
6
11
HPSA Geographic
Single County
HPSA Geographic
0
13
3
13
043 - Brewster County
Brewster County
Brewster
Low Income - Brewster County
Brewster
748043
148999484F
045 - Briscoe County
Briscoe County
Briscoe
Briscoe County
Briscoe
Briscoe County
Briscoe
748045
148045
648045
047 - Brooks County
Brooks County
Brooks
Brooks County
Brooks
Brooks County
Brooks
748047
148047
648047
049 - Brown County
Brown County
Brown
Brown County
Brown
748049
648049
051 - Burleson County
Burleson County
Burleson
Burleson County
748051
148051
A |Appendix
Burleson
Burleson County
Burleson
648051
Single County
HPSA Geographic
Single County
2
9
0
0
0
0
0
1
0
2
0
4
15
0
9
14
7
8
0
0
8
17
14
17
11
6
8
053 - Burnet County
Seton Highland Lakes Dba Marble Falls Health Center
Seton Highland Lakes Clinic Marbles Fall
Seton Highland Lakes Care-a-Van
Seton Highland Lakes Clinic Marbles Fall
Horseshoe Bay Clinic
Seton Highland Lakes Clinic Marbles Fall
Seton Highland Lakes Dba Marble Falls Health Center
Burnet County
Burnet
Burnet County
Burnet
14899948OT
14899948B6
148999488N
64899948ML
648999480J
74899948MF
74899948ME
748053
648053
Rural Health Clinic
Rural Health Clinic
Rural Health Clinic
Rural Health Clinic
Rural Health Clinic
Rural Health Clinic
Rural Health Clinic
HPSA Geographic
Single County
HPSA Geographic
Single County
055 - Caldwell County
Children's Care-a-Van
Children's Care-a-Van
Children's Care-a-Van
Caldwell County
Caldwell
Caldwell County
Caldwell
148999488W
64899948MT
74899948MS
148055
648055
Rural Health Clinic
Rural Health Clinic
Rural Health Clinic
HPSA Geographic
Single County
HPSA Geographic
Single County
057 - Calhoun County
Low Income - Calhoun County
Calhoun
14899948PC
HPSA Population
Single County
2
8
748059
HPSA Geographic
Single County
0
13
Comprehensive Health Center
Correctional Facility
Comprehensive Health Center
Comprehensive Health Center
Correctional Facility
Comprehensive Health Center
Comprehensive Health Center
Correctional Facility
Comprehensive Health Center
HPSA Geographic High Needs
Single County
HPSA Geographic
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
1
1
17
7
6
15
16
12
16
19
21
17
17
24
13
059 - Callahan County
Callahan County
Callahan
061 - Cameron County
Su Clinica Familia
Immigration and Customs Enforcement - Port Isabel
Brownsville Community Health Center
Brownsville Community Health Center
Immigration and Customs Enforcement - Port Isabel
Su Clinica Familia
Brownsville Community Health Center
Immigration and Customs Enforcement - Port Isabel
Su Clinica Familia
Cameron County
Cameron
South Service Area
131.06
132.03
132.04
132.05
132.06
132.07
133.03
14899948D1
148999486F
148999486E
64899948K6
64899948C6
6489994887
748999484T
748999483D
748999481J
748061
148999487X
0
0
A |Appendix
133.05
133.06
133.07
133.08
133.09
134.01
134.02
137
138.01
138.02
139.01
139.02
139.03
140.01
140.02
141
143
9801
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
063 - Camp County
Camp County
Camp
748063
HPSA Geographic High Needs
Single County
0
12
748065
HPSA Geographic
Single County
HPSA Geographic
Single County
HPSA Geographic
Single County
0
11
0
15
1
11
HPSA Geographic High Needs
Single County
HPSA Geographic
Single County
0
16
8
9
HPSA Geographic High Needs
Single County
HPSA Geographic High Needs
Single County
HPSA Geographic High Needs
Single County
0
14
2
13
1
16
0
6
8
11
13
7
8
3
11
065 - Carson County
Carson County
Carson
Carson County
Carson
Carson County
Carson
148065
648065
067 - Cass County
Cass County
Cass
Cass County
Cass
748067
148067
069 - Castro County
Castro County
Castro
Castro County
Castro
Castro County
Castro
748069
148069
648069
071 - Chambers County
Chambers County Public Hospital District
Chambers County Public Hospital District
Chambers County Public Hospital District
Chambers County
Chambers
Chambers County
Chambers
Chambers County
14899948E7
64899948K4
748999484N
748071
148071
648071
Comprehensive Health Center
Comprehensive Health Center
Comprehensive Health Center
HPSA Geographic
Single County
HPSA Geographic
Single County
HPSA Geographic
A |Appendix
Chambers
Single County
073 - Cherokee County
Cherokee County
Cherokee
748073
HPSA Geographic High Needs
Single County
2
14
148999485J
648999480K
748999481G
748075
Rural Health Clinic
Rural Health Clinic
Rural Health Clinic
HPSA Geographic High Needs
Single County
0
0
0
0
8
17
16
11
148077
HPSA Geographic
Single County
3
7
748079
HPSA Geographic
Single County
HPSA Geographic High Needs
Single County
0
11
0
17
HPSA Geographic High Needs
Single County
HPSA Geographic High Needs
Single County
HPSA Geographic
Single County
0
10
0
18
0
17
HPSA Geographic High Needs
Single County
HPSA Geographic High Needs
Single County
HPSA Geographic
Single County
0
13
1
13
1
13
075 - Childress County
Fox Rural Health Clinic
Fox Rural Health Clinic
Fox Rural Health Clinic
Childress County
Childress
077 - Clay County
Clay County
Clay
079 - Cochran County
Cochran County
Cochran
Cochran County
Cochran
648079
081 - Coke County
Coke County
Coke
Coke County
Coke
Coke County
Coke
748081
148081
648081
083 - Coleman County
Coleman County
Coleman
Coleman County
Coleman
Coleman County
Coleman
748083
148083
648083
085 - Collin County
Collin County Adult Clinic
14899948PD
Collin County Adult Clinic
64899948MU
Collin County Adult Clinic
74899948MT
Federally Qualified Health Center Look A
Like
Federally Qualified Health Center Look A
Like
Federally Qualified Health Center Look A
Like
15
14
13
087 - Collingsworth County
Collingsworth County
Collingsworth
Low Income - Collingsworth
Collingsworth
748087
14899948P2
HPSA Geographic
Single County
HPSA Population
Single County
0
12
0
18
Rural Health Clinic
Rural Health Clinic
Rural Health Clinic
0
0
0
14
6
14
089 - Colorado County
Rice Medical Associates
Rice Medical Associates
Rice Medical Associates
14899948OK
64899948MJ
74899948MD
A |Appendix
Colorado County
Colorado
Low Income - Colorado County
Colorado
748089
14899948NA
HPSA Geographic
Single County
HPSA Population
Single County
0
15
0
15
Comprehensive Health Center
Comprehensive Health Center
Comprehensive Health Center
HPSA Geographic High Needs
Single County
HPSA Geographic High Needs
Single County
1
0
10
18
19
15
2
12
0
4
12
6
9
091 - Comal CountyNo HPSAs in this county.
093 - Comanche County
Cross Timbers Healthcare
Cross Timbers Healthcare
Cross Timbers Healthcare
Comanche County
Comanche
Comanche County
Comanche
14899948D4
6489994890
748999481M
748093
648093
095 - Concho County
Frontera Healthcare Network
Frontera Healthcare Network
Frontera Healthcare Network
Concho County
Concho
14899948C6
64899948J1
748999484G
748095
Comprehensive Health Center
Comprehensive Health Center
Comprehensive Health Center
HPSA Geographic High Needs
Single County
148999485I
648999480V
74899948MK
7489994840
748097
Rural Health Clinic
Rural Health Clinic
Correctional Facility
Rural Health Clinic
HPSA Geographic
Single County
0
0
0
0
0
16
14
15
20
14
148099
HPSA Geographic
Single County
9
13
748101
HPSA Geographic
Single County
HPSA Geographic
Single County
0
12
0
14
Rural Health Clinic
HPSA Geographic
Single County
HPSA Geographic
Single County
0
0
7
9
0
15
HPSA Geographic
Single County
HPSA Geographic
Single County
0
11
1
10
HPSA Geographic High Needs
Single County
0
16
097 - Cooke County
Cooke County Medical Center
Cooke County Medical Center
Gainesville State School
Cooke County Medical Center
Cooke County
Cooke
099 - Coryell County
Coryell County
Coryell
101 - Cottle County
Cottle County
Cottle
Cottle County
Cottle
148101
103 - Crane County
Crane County Rural Health Clinic
Crane County
Crane
Crane County
Crane
148999483O
748103
148103
105 - Crockett County
Crockett County
Crockett
Crockett County
Crockett
748105
148105
107 - Crosby County
Crosby County
Crosby
748107
A |Appendix
Crosby County
Crosby
Crosby County
Crosby
148107
648107
HPSA Geographic High Needs
Single County
HPSA Geographic High Needs
Single County
2
13
0
15
Rural Health Clinic
Rural Health Clinic
Rural Health Clinic
HPSA Geographic High Needs
Single County
HPSA Geographic
Census Tract
HPSA Geographic High Needs
Single County
0
0
0
0
15
12
13
11
1
19
0
16
0
0
11
0
14
0
0
0
1
0
1
0
4
0
0
1
1
2
14
15
19
15
12
15
12
16
17
12
15
6
15
17
19
21
16
12
16
18
17
16
16
109 - Culberson County
Van Horn Rural Health Clinic
Van Horn Rural Health Clinic
Van Horn Rural Health Clinic
Culberson County
Culberson
Culberson and Hudspeth Counties
9503
Culberson County
Culberson
1489994810
6489994808
748999480D
748109
148999485B
648109
111 - Dallam County
High Country Community Rural Health Clinic
Dallam County
Dallam
Low Income - Dallam County
Dallam
148999488R
748111
14899948P7
Rural Health Clinic
HPSA Geographic
Single County
HPSA Population
Single County
113 - Dallas County
Dallas County Hosptial District Homeless Programs
Mission East Dallas (Medical) and Metroplex Project
Urban Inter-Tribal Center of Texas
Los Barrios Unidos Communty Health Center
Agape Clinic
MLK Jr Family Center
Federal Correctional Institution - Seagoville
Parkland Internal Medical Clinic
Urban Inter-Tribal Center of Texas
Mission East Dallas (Medical) and Metroplex Project
Parkland Dental Center
East Dallas Dental Center
Deharo Saldivar Dental Center
Dallas County Hosptial District Homeless Programs
MLK Jr. Family Center
Los Barrios Unidos Community Health Center
Urban Inter-Tribal Center of Texas
Federal Correctional Institution - Seagoville
Mission East Dallas (Medical) and Metroplex Project
Dallas County Hosptial District Homeless Programs
MLK Jr. Family Center
Los Barrios Unidos Community Health Center
West Dallas
101.01
101.02
105
106.01
106.02
205
14899948P6
14899948OZ
14899948OY
14899948D3
148999487Y
148999485F
148999484M
1489994846
64899948MP
64899948MO
64899948G2
64899948G1
64899948F9
64899948C2
6489994897
6489994889
74899948MP
6489994838
74899948MN
748999482V
748999481V
748999481L
748999480A
Comprehensive Health Center
Comprehensive Health Center
Native American Tribal Population
Comprehensive Health Center
Other Facility
Comprehensive Health Center
Correctional Facility
Other Facility
Native American Tribal Population
Comprehensive Health Center
Other Facility
Other Facility
Other Facility
Comprehensive Health Center
Comprehensive Health Center
Comprehensive Health Center
Native American Tribal Population
Correctional Facility
Comprehensive Health Center
Comprehensive Health Center
Comprehensive Health Center
Comprehensive Health Center
HPSA Geographic High Needs
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
0
0
0
0
A |Appendix
43
South Irving Service Area
141.15
142.03
143.02
143.06
143.08
143.09
144.03
144.05
144.06
144.07
144.08
145.01
145.02
146.01
146.02
146.03
147.01
147.02
147.03
149.01
149.02
150
151
152.02
152.04
152.05
152.06
153.05
153.06
201
South Dallas
113
114.01
167.01
202
55
57
59.01
59.02
86.04
87.01
87.03
87.04
87.05
88.01
88.02
South Dallas
115
116.01
203
748999482S
74899948M3
1489994820
Census Tract
HPSA Geographic
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
HPSA Geographic High Needs
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
HPSA Geographic
Census Tract
Census Tract
Census Tract
2
12
2
18
8
16
A |Appendix
204
25
27.01
27.02
34
37
38
39.01
39.02
40
93.03
93.04
Trinity Area
41
49
54
55
86.03
89
Lisbon Service Area
56
57
59.01
59.02
86.04
87.01
87.03
87.04
87.05
88.01
88.02
Simpson-Stuart
112
113
114.01
167.01
202
Southeast Dallas
116.02
117.01
117.02
118
119
120
121
122.07
170.04
171.01
171.02
172.01
172.02
176.04
1489994821
1489994822
1489994823
14899948OU
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
HPSA Geographic
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
HPSA Geographic High Needs
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
HPSA Geographic
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
HPSA Geographic
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
2
14
12
8
2
15
28
12
A |Appendix
176.05
176.06
85
90
91.01
91.03
91.04
91.05
92.01
92.02
93.01
Grand Prairie
154.03
154.04
155
160.01
160.02
161
162.01
162.02
163.02
164.06
164.07
South Dallas
115
116.01
120
121
122.06
122.07
203
204
24
25
27.01
27.02
34
37
38
39.01
39.02
40
41
84
85
90
91.01
91.03
91.04
91.05
92.01
92.02
14899948P9
6489994812
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
HPSA Geographic
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
HPSA Geographic
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
11
11
18
14
A |Appendix
93.01
93.03
93.04
Lisbon Service Area
114.01
202
49
54
55
56
57
59.01
59.02
86.03
86.04
87.01
87.03
87.04
87.05
88.01
88.02
89
West Dallas/Cliff Hall
101.01
101.02
105
106.01
106.02
107.01
107.03
107.04
199
205
43
65.01
65.02
67
South East Dallas
116.02
117.01
117.02
118
119
170.04
171.01
171.02
172.01
172.02
176.04
176.05
176.06
6489994813
6489994854
64899948MN
Census Tract
Census Tract
Census Tract
HPSA Geographic
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
HPSA Geographic High Needs
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
HPSA Geographic
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
4
16
12
6
3
14
A |Appendix
115 - Dawson County
Dawson County
Dawson
Dawson County
Dawson
Dawson County
Dawson
748115
HPSA Geographic
Single County
HPSA Geographic High Needs
Single County
HPSA Geographic High Needs
Single County
0
14
3
17
2
10
HPSA Geographic
Single County
HPSA Geographic
Single County
0
14
5
9
HPSA Geographic High Needs
Single County
HPSA Geographic
Single County
1
13
1
8
14899948PA
64899948MR
74899948MQ
Comprehensive Health Center
Comprehensive Health Center
Comprehensive Health Center
0
0
0
7
6
9
748123
HPSA Geographic High Needs
Single County
HPSA Geographic High Needs
Single County
0
15
4
9
HPSA Geographic
Single County
HPSA Geographic High Needs
Single County
HPSA Geographic High Needs
Single County
0
12
0
20
0
13
0
0
0
0
0
14
1
20
0
10
1
16
0
17
148115
648115
117 - Deaf Smith County
Deaf Smith County
Deaf Smith
Deaf Smith County
Deaf Smith
748117
148117
119 - Delta County
Delta County
Delta
Delta County
Delta
148119
648119
121 - Denton County
Health Services of North Texas, Inc.
Health Services of North Texas, Inc.
Health Services of North Texas, Inc.
123 - DeWitt County
Dewitt County
Dewitt
De Witt County
Dewitt
648123
125 - Dickens County
Dickens County
Dickens
Dickens County
Dickens
Dickens County
Dickens
748125
148125
648125
127 - Dimmit County
Children's Clinic of Dimmit and Zavala
Women's Clinic of Dimmit and Zavala
Women's Clinic of Dimmit and Zavala
Women's Clinic of Dimmit and Zavala
Dimmit County
Dimmit
Dimmit County
Dimmit
148999488P
148999486R
64899948E5
748999483F
748127
648127
Rural Health Clinic
Rural Health Clinic
Rural Health Clinic
Rural Health Clinic
HPSA Geographic High Needs
Single County
HPSA Geographic High Needs
Single County
129 - Donley County
Donley County
Donley
Donley County
Donley
Donley County
748129
148129
648129
HPSA Geographic
Single County
HPSA Geographic High Needs
Single County
HPSA Geographic High Needs
A |Appendix
Donley
Single County
131 - Duval County
Duval County
Duval
Duval County
Duval
Duval County
Duval
748131
148131
648131
HPSA Geographic
Single County
HPSA Geographic High Needs
Single County
HPSA Geographic High Needs
Single County
0
15
0
17
0
18
HPSA Geographic High Needs
Single County
HPSA Geographic High Needs
Single County
HPSA Geographic High Needs
Single County
0
15
5
10
3
10
133 - Eastland County
Eastland County
Eastland
Eastland County
Eastland
Eastland County
Eastland
748133
148133
648133
135 - Ector County
Ector County Hospital District
14899948G5
Ector County Hospital District
64899948ME
Ector County Hospital District
74899948M8
Federally Qualified Health Center Look A
Like
Federally Qualified Health Center Look A
Like
Federally Qualified Health Center Look A
Like
12
0
11
0
19
0
11
1
13
0
9
137 - Edwards County
Edwards County
Edwards
Edwards County
Edwards
Edwards County
Edwards
748137
148137
648137
HPSA Geographic
Single County
HPSA Geographic High Needs
Single County
HPSA Geographic High Needs
Single County
141 - El Paso County
Thomason Primary Care Center
Ysleta Del Sur Pueblo
Project Vida Health Center
Federal Correctional Institution - La Tuna
Immigration and Customs Enforcement - El Paso
Centro San Vicente Health Center
Centro De Salud Familiar La Fe, Inc.
Project Vida Health Center
Immigration and Customs Enforcement - El Paso
Centro San Vicente Health Center
Centro De Salud Familiar La Fe, Inc.
Federal Correctional Institution - La Tuna
Ysleta Del Sur Pueblo
Project Vida Health Center
Immigration and Customs Enforcement - El Paso
Centro San Vicente Health Center
Centro De Salud Familiar La Fe, Inc.
Ysleta Del Sur Pueblo
El Paso County
El Paso
14899948B5
14899948B2
148999487F
1489994877
148999486G
148999485Y
148999484S
64899948H1
64899948C5
64899948B9
64899948A3
6489994879
648999480L
748999483V
748999482W
748999482T
748999482A
748999481H
748141
Rural Health Clinic
Native American Tribal Population
Comprehensive Health Center
Correctional Facility
Correctional Facility
Comprehensive Health Center
Comprehensive Health Center
Comprehensive Health Center
Correctional Facility
Comprehensive Health Center
Comprehensive Health Center
Correctional Facility
Native American Tribal Population
Comprehensive Health Center
Correctional Facility
Comprehensive Health Center
Comprehensive Health Center
Native American Tribal Population
HPSA Geographic High Needs
Single County
0
0
1
0
0
0
0
0
26
3
17
17
18
12
19
15
20
12
10
22
21
19
20
21
16
17
21
17
A |Appendix
Southeast El Paso
103.19
103.29
103.30
103.31
103.32
103.33
103.34
103.35
103.39
103.40
103.41
103.42
103.43
103.44
103.45
103.46
103.47
104.01
104.04
104.05
104.06
104.07
104.08
104.09
105.01
105.02
105.04
105.05
105.06
38.04
39.01
39.02
39.03
40.02
40.03
40.04
Far Northern El Paso
102.03
102.13
102.14
102.15
102.16
102.17
102.18
102.19
102.20
102.21
102.22
11.07
11.09
11.10
1489994802
148999482S
HPSA Geographic
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
HPSA Geographic
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
24
14
21
11
A |Appendix
11.12
12.01
12.02
13.01
13.02
Lower Valley - El Paso
10.01
10.02
24
25
26
30
31
32
33
34.02
34.03
35.01
35.02
36.01
36.02
37.01
37.02
38.01
38.03
41.03
41.04
41.05
41.06
41.07
42.01
42.02
9800
West Central
1.01
1.06
1.07
1.08
1.09
1.10
1.11
1.12
102.07
102.10
102.12
106
2.04
2.05
2.06
2.07
2.08
3.01
1489994885
148999488I
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
HPSA Geographic
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
HPSA Geographic
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
31
10
21
16
A |Appendix
3.02
4.03
4.04
6
8
Southeast El Paso
103.46
103.47
104.01
104.04
104.05
104.06
104.07
104.08
104.09
105.01
105.02
105.04
105.05
105.06
17
18
19
20
21
28
29
30
31
32
35.01
35.02
36.01
36.02
37.01
37.02
38.01
38.03
38.04
39.01
39.02
39.03
40.02
40.03
40.04
41.03
41.04
41.05
41.06
41.07
42.01
42.02
6489994824
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
HPSA Geographic High Needs
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
16
19
A |Appendix
Far Northern El Paso
102.03
102.13
102.14
102.15
102.16
102.17
102.18
102.19
102.20
102.21
102.22
12.01
6489994858
HPSA Geographic
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
4
14
14899948J2
64899948L9
74899948A4
Comprehensive Health Center
Comprehensive Health Center
Comprehensive Health Center
748143
HPSA Geographic High Needs
Single County
1
16
748145
HPSA Geographic High Needs
Single County
HPSA Geographic High Needs
Single County
0
14
4
12
HPSA Geographic
Single County
HPSA Geographic
Single County
HPSA Geographic High Needs
Single County
0
14
8
9
5
9
Comprehensive Health Center
Rural Health Clinic
Comprehensive Health Center
Comprehensive Health Center
HPSA Geographic
Single County
HPSA Population
Single County
HPSA Population
Single County
0
0
0
0
5
0
12
20
12
1
13
1
9
HPSA Geographic
Single County
HPSA Geographic
Single County
0
10
1
13
139 - Ellis County
Ellis County Coalition for Health Option
Ellis County Coalition for Health Option
Ellis County Coalition for Health Option
14
16
20
143 - Erath County
Erath County
Erath
145 - Falls County
Falls County
Falls
Falls County
Falls
148145
147 - Fannin County
Fannin County
Fannin
Fannin County
Fannin
Fannin County
Fannin
748147
148147
648147
149 - Fayette County
Tejas Health Care (Thc)
Flatonia Community Clinic
Tejas Health Care (Thc)
Tejas Health Care (Thc)
Fayette County
Fayette
Low Income - Fayette County
Fayette
Low Income - Fayette County
Fayette
14899948OH
148999488T
64899948MA
74899948M5
748149
14899948K2
64899948M8
151 - Fisher County
Fisher County
Fisher
Fisher County
Fisher
748151
148151
153 - Floyd County
A |Appendix
Floyd County
Floyd
748153
HPSA Geographic High Needs
Single County
0
14
748155
HPSA Geographic High Needs
Single County
HPSA Geographic High Needs
Single County
0
11
0
9
155 - Foard County
Foard County
Foard
Foard County
Foard
148155
157 - Fort Bend County
The Access Health Richmond Center
The Access Health Richmond Center
The Access Health Richmond Center
148999484V
64899948B8
748999482R
Comprehensive Health Center
Comprehensive Health Center
Comprehensive Health Center
16
17
15
148999483M
HPSA Population
Single County
1
12
748161
HPSA Geographic
Single County
HPSA Population
Single County
0
14
1
15
Correctional Facility
Correctional Facility
Correctional Facility
HPSA Geographic High Needs
Single County
HPSA Geographic High Needs
Single County
HPSA Geographic High Needs
Single County
0
0
1
0
18
21
15
15
5
10
3
14
HPSA Geographic
Single County
HPSA Geographic
Single County
HPSA Geographic
Single County
0
14
5
11
1
13
Comprehensive Health Center
Comprehensive Health Center
Comprehensive Health Center
HPSA Geographic
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
1
14
18
16
16
159 - Franklin County
Low Income - Franklin County
Franklin
161 - Freestone County
Freestone County
Freestone
Low Income - Freestone County
Freestone
148999483U
163 - Frio County
Immigration Customs Enforcement-South Texas/Pearsall
Immigration Customs Enforcement-South Texas/Pearsall
Immigration Customs Enforcement-South Texas/Pearsall
Frio County
Frio
Frio County
Frio
Frio County
Frio
148999487T
64899948E7
748999486X
748163
148163
648163
165 - Gaines County
Gaines County
Gaines
Gaines County
Gaines
Gaines County
Gaines
748165
148165
648165
167 - Galveston County
Coastal Health and Wellness
Coastal Health and Wellness
Coastal Health and Wellness
Galveston MHMR
7240
7241.01
7242
7243
7244
7245
7246
7247
148999484Y
64899948A6
748999482E
74899948MJ
1
A |Appendix
7248
7249
7250
7251
7252
7253
7254
7255
7256
7257
7258
7259
9900
Bolivar Peninsula
7239
1489994814
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
HPSA Geographic
Census Tract
0
18
HPSA Geographic
Single County
HPSA Geographic
Single County
0
11
1
11
748171
HPSA Geographic
Single County
0
14
748173
HPSA Geographic
Single County
HPSA Geographic
Single County
HPSA Geographic
Single County
0
9
0
13
0
8
HPSA Geographic
Single County
HPSA Geographic
Single County
1
12
1
11
Comprehensive Health Center
Comprehensive Health Center
Comprehensive Health Center
HPSA Geographic High Needs
Single County
HPSA Population
Single County
HPSA Geographic High Needs
Single County
1
0
7
14
14
15
2
13
2
13
HPSA Geographic
Single County
HPSA Geographic
0
16
5
12
169 - Garza County
Garza County
Garza
Garza County
Garza
748169
148169
171 - Gillespie County
Gillespie County
Gillespie
173 - Glasscock County
Glasscock County
Glasscock
Glasscock County
Glasscock
Glasscock County
Glasscock
148173
648173
175 - Goliad County
Goliad County
Goliad
Goliad County
Goliad
148175
648175
177 - Gonzales County
Community Health Centers of South Central Texas
Community Health Centers of South Central Texas
Community Health Centers of South Central Texas
Gonzales County
Gonzales
Low Income - Gonzales County
Gonzales
Gonzales County
Gonzales
14899948D9
6489994893
748999481Q
748177
1489994883
648177
179 - Gray County
Gray County
Gray
Gray County
748179
148179
A |Appendix
Gray
Single County
181 - Grayson County
Low Income - Grayson County
Grayson
Low Income - Grayson County
Grayson
748999481E
14899948H4
HPSA Population
Single County
HPSA Population
Single County
2
13
8
9
183 - Gregg County
Special Health Resources of Texas
14899948H6
Longview Wellness Center
14899948C5
Special Health Resources of Texas
64899948L3
Longview Wellness Center
64899948H9
Special Health Resources of Texas
748999484Y
Longview Wellness Center
748999484J
Federally Qualified Health Center Look A
Like
Comprehensive Health Center
Federally Qualified Health Center Look A
Like
Comprehensive Health Center
Federally Qualified Health Center Look A
Like
Comprehensive Health Center
11
12
19
19
18
18
185 - Grimes County
Grimes County
Grimes
Low Income - Grimes County
Grimes
748185
HPSA Geographic
Single County
HPSA Population
Single County
0
17
1
12
HPSA Geographic
Single County
2
14
Comprehensive Health Center
Comprehensive Health Center
Comprehensive Health Center
HPSA Geographic
Single County
HPSA Geographic High Needs
Single County
1
1
9
12
17
16
7
9
HPSA Geographic
Single County
HPSA Geographic High Needs
Single County
HPSA Geographic High Needs
Single County
0
12
0
20
0
19
748193
HPSA Geographic
Single County
0
11
148999486O
648999480Q
748999482D
748195
Rural Health Clinic
Rural Health Clinic
Rural Health Clinic
HPSA Geographic
Single County
0
0
0
0
11
10
12
10
14899948F8
187 - Guadalupe County
Guadalupe County
Guadalupe
748187
189 - Hale County
Regence Health Network
Regence Health Network
Regency Health Network
Hale County
Hale
Hale County
Hale
148999485D
6489994895
748999481T
748189
648189
191 - Hall County
Hall County
Hall
Hall County
Hall
Hall County
Hall
748191
148191
648191
193 - Hamilton County
Hamilton County
Hamilton
195 - Hansford County
Family Medical Clinic of Hansford County
Family Medical Clinic of Hansford County
Family Medical Clinic of Hansford County
Hansford County
Hansford
A |Appendix
Hansford County
Hansford
Hansford County
Hansford
148195
HPSA Geographic
Single County
HPSA Geographic
Single County
1
13
1
10
748197
HPSA Geographic High Needs
Single County
0
11
14899948P4
14899948J3
14899948H7
14899948G1
14899948C4
14899948C2
14899948B4
148999487L
148999487J
148999487C
148999486W
148999486V
148999486K
148999485X
148999485M
148999484L
64899948M1
64899948L5
64899948L1
64899948J3
64899948H5
64899948F4
64899948F2
64899948E8
64899948B7
64899948A5
64899948A1
6489994878
648999486H
648999480S
648999480R
74899948B6
74899948A5
748999486J
748999484Z
748999484F
748999484A
748999483U
748999483S
748999483O
748999483M
748999483K
Other Facility
Comprehensive Health Center
Comprehensive Health Center
Comprehensive Health Center
Comprehensive Health Center
Comprehensive Health Center
Comprehensive Health Center
Comprehensive Health Center
Comprehensive Health Center
Comprehensive Health Center
Comprehensive Health Center
Comprehensive Health Center
Correctional Facility
Comprehensive Health Center
Comprehensive Health Center
Correctional Facility
Comprehensive Health Center
Comprehensive Health Center
Comprehensive Health Center
Comprehensive Health Center
Comprehensive Health Center
Comprehensive Health Center
Comprehensive Health Center
Comprehensive Health Center
Comprehensive Health Center
Comprehensive Health Center
Comprehensive Health Center
Correctional Facility
Correctional Facility
Comprehensive Health Center
Comprehensive Health Center
Correctional Facility
Comprehensive Health Center
Correctional Facility
Comprehensive Health Center
Comprehensive Health Center
Comprehensive Health Center
Comprehensive Health Center
Comprehensive Health Center
Comprehensive Health Center
Comprehensive Health Center
Comprehensive Health Center
0
15
13
12
14
14
9
6
10
13
8
15
14
12
16
6
12
18
18
10
22
10
14
12
10
18
11
11
12
12
17
14
12
16
21
19
20
14
12
15
17
14
12
648195
197 - Hardeman County
Hardeman County
Hardeman
199 - Hardin CountyNo HPSAs in this county.
201 - Harris County
Shriners Hospital for Children-Houston
Houston Area Community Services, Inc.
Asian Am. Health Coalition of Gtr Houston/Dba Hope C
Spring Branch Community Health Center
Houston Community Health Center
Legacy Community Health Systems, Inc.
Health Care for the Homeless - Houston
Fourth Ward Clinic Dba Good Neighbor Hcc
Pasadena Health Center
El Centro De Corazon
Bee Busy Wellness Center
St. Hope Foundation
Immigration and Customs Enforcement - Houston
South Central Houston Action Council, Inc.
Harris County Hospital District
Federal Detention Center - Houston
Houston Area Community Services, Inc.
Asian Am. Health Coalition of Gtr Houston/Dba Hope C
Legacy Community Health Systems, Inc.
Houston Community Health Center
El Centro De Corazon
Pasadena Health Center
Spring Branch Community Health Center
Fourth Ward Clinic Dba Good Neighbor Hcc
South Central Houston Action Council, Inc.
Harris County Hospital District
Houston Health Care for the Homeless
Federal Detention Center - Houston
Immigration and Customs Enforcement - Houston
Bee Busy Wellness Center
St. Hope Foundation
Federal Detention Center - Houston
Houston Area Community Services, Inc.
Immigration and Customs Enforcement - Houston
Asian Am. Health Coalition of Gtr Houston/Dba Hope C
Houston Community Health Center
El Centro De Corazon
Legacy Community Health Systems, Inc.
Bee Busy Wellness Center
Fourth Ward Clinic Dba Good Neighbor Hcc
Pasadena Health Center
Spring Branch Community Health Center
0
0
0
1
1
0
0
0
0
0
0
0
0
A |Appendix
South Central Houston Action Council, Inc.
St. Hope Foundation
Harris County Hospital District
Houston Health Care for the Homeless
Montrose Counseling Center
Ripley Service Area
3101
3102
3103
3104
3105
3106
3107
3108
3109
3110
3111
3112
3113
3114
3115
3116
3117
3118
3119
3201
3202
3242
3329
Third Ward Service Area
3122
3123
3124
3125
3128
East Central
2108
2109
2110
2111
2112
2113
2114
2115
2116
2117
2119
2124
2125
Acres Home
5308
5318
748999482Q
748999482I
748999482C
748999481Y
748999480T
748999480Q
748999480U
748999480W
748999483I
Comprehensive Health Center
Comprehensive Health Center
Comprehensive Health Center
Comprehensive Health Center
Other Facility
HPSA Geographic High Needs
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
HPSA Geographic High Needs
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
HPSA Geographic High Needs
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
HPSA Geographic
Census Tract
Census Tract
0
6
17
18
9
8
13
13
1
11
1
19
1
16
0
A |Appendix
5319
5320.01
5320.02
5326
5327
5328
5329
5330
5331
5332
5333
5334
Aldine
2202
2203
2204
2205
2206
2207
2209
2210
2211
2212
2213
2214
2215
2216
2217
2218
2219
2220
2221
2222
2223
2224.01
2224.02
2225.01
2225.02
2225.03
2226
2227
2228
2229
2230.01
2230.02
2231
2317
2318
2321
2401
2405.01
2405.02
748999483R
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
HPSA Geographic
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
2
18
A |Appendix
2406
2415
5303
5304
5305
5306
5307
5335
5336
5337.01
5337.02
5338.01
5338.02
5501
5502
5505
5506.01
5506.02
5506.03
South Central Houston
3308
3311
3312
3313
3314
3315
3316.01
3316.02
3317
3318
3319
3320
3321
3322
3323
3324
3325
3326
3327
3328
South Central Houston
3311
3312
3313
3314
3315
3316.01
3316.02
3317
3318
3319
3320
74899948B2
148999481Q
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
HPSA Geographic
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
HPSA Geographic High Needs
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
0
17
13
13
A |Appendix
3321
3322
3323
3324
Aldine
2210
2211
2218
2219
2220
2221
2222
2223
2229
2230.01
2230.02
2231
2317
East Central Houston
2108
2109
2110
2111
2112
2113
2114
2115
2116
2117
2119
2124
2125
North Central
2217
2224.01
2224.02
2225.01
2225.02
2225.03
2226
2228
2401
2405.01
2405.02
2406
Acres Home
5308
5318
5319
5330
5331
5332
148999481R
148999481T
148999483K
1489994872
Census Tract
Census Tract
Census Tract
Census Tract
HPSA Geographic
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
HPSA Geographic
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
HPSA Geographic High Needs
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
HPSA Geographic High Needs
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
12
14
8
15
11
13
8
11
A |Appendix
5333
5334
5335
Ripley (Houston)
3101
3103
3104
3105
3106
3107
3108
3109
3110
3111
3112
3113
3114
3115
3116
3117
3118
3119
3133
3134
3201
3202
3205
3206.01
3206.02
3207
3208
3218
3219
3220
3241
3242
3325
3326
3327
3328
3329
3330
3331
3332.01
3332.02
3333
3335
3336
3337
9800
Settegast
2201
1489994881
14899948G2
Census Tract
Census Tract
Census Tract
HPSA Geographic
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
HPSA Geographic High Needs
Census Tract
59
9
15
10
A |Appendix
2207
2208
2209
2301
2302
2303
2304
2305
2306
2307
2308
2309
2310
2311
Galena Service Area
2333
2334
2335
2336
2337.01
2337.02
2337.03
South Central Service Area
3308
3311
3312
3313
3314
3315
3316.01
3316.02
3317
3318
3319
3320
3321
3322
3323
3324
3326
3327
3328
Settegast Service Area
2201
2207
2208
2209
2301
2302
2303
2304
2305
14899948P5
6489994868
6489994871
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
HPSA Geographic High Needs
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
HPSA Geographic High Needs
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
HPSA Geographic High Needs
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
9
7
8
14
5
16
A |Appendix
2306
2307
2308
2309
2310
2311
East Central
2108
2109
2110
2111
2112
2113
2114
2115
2116
2117
2119
2124
2125
Acres Home
5308
5318
5319
5326
5327
5328
5329
5330
5331
5332
5333
5334
5335
Aldine
2218
2219
2220
2221
2222
2223
2229
2230.01
2230.02
2231
2317
6489994872
6489994874
64899948G3
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
HPSA Geographic High Needs
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
HPSA Geographic High Needs
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
HPSA Geographic High Needs
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
10
11
11
8
7
12
2
18
15
18
15
203 - Harrison County
East Texas Border Health Clinics
East Texas Border Health Clinics
East Texas Border Health Clinics
Low Income - Harrison County
14899948E6
64899948J7
748999484P
148999482P
Comprehensive Health Center
Comprehensive Health Center
Comprehensive Health Center
HPSA Population
A |Appendix
Harrison
Single County
205 - Hartley County
Dalhart Family Medicine Clinic
Dalhart Family Medicine Clinic
Dalhart Family Medicine Clinic
Hartley County
Hartley
14899948OL
64899948MH
74899948MB
748205
Rural Health Clinic
Rural Health Clinic
Rural Health Clinic
HPSA Geographic
Single County
148999488V
748207
Rural Health Clinic
HPSA Geographic
Single County
HPSA Geographic
Single County
HPSA Geographic
Single County
0
0
0
0
6
10
10
10
0
0
11
1
15
1
13
207 - Haskell County
Cadenhead Rural Health Clinic
Haskell County
Haskell
Haskell County
Haskell
Haskell County
Haskell
148207
648207
209 - Hays County
Low Income - Hays County
Hays
14899948OF
HPSA Population
Single County
12
6
748211
HPSA Geographic
Single County
0
10
748213
HPSA Geographic
Single County
HPSA Population
Single County
2
16
9
5
14899948D8
6489994892
748999481P
748215
Comprehensive Health Center
Comprehensive Health Center
Comprehensive Health Center
HPSA Geographic High Needs
Single County
1
19
11
17
19
19
748217
HPSA Geographic
Single County
HPSA Geographic High Needs
Single County
0
15
11
7
1
0
0
0
0
12
4
4
3
12
18
6
9
17
18
211 - Hemphill County
Hemphill County
Hemphill
213 - Henderson County
Henderson County
Henderson
Low Income - Henderson County
Henderson
1489994890
215 - Hidalgo County
Nuestra Clinica Del Valle
Nuestra Clinica Del Valle
Nuestra Clinica Del Valle
Hidalgo County
Hidalgo
217 - Hill County
Hill County
Hill
Hill County
Hill
148217
219 - Hockley County
South Plains Rural Health
Family Medicine Clinic of Sundown
Levelland Clinic North
Levelland Clinic
Family Medicine of Levelland
South Plains Rural Health
Levelland Clinic
Family Medicine of Levelland
South Plains Rural Health
Family Medicine of Levelland
148999485H
148999482D
148999481O
148999481I
148999481D
6489994899
648999480N
648999480I
748999481X
748999481D
Comprehensive Health Center
Rural Health Clinic
Rural Health Clinic
Rural Health Clinic
Rural Health Clinic
Comprehensive Health Center
Rural Health Clinic
Rural Health Clinic
Comprehensive Health Center
Rural Health Clinic
0
0
0
A |Appendix
Hockley County
Hockley
Hockley County
Hockley
748219
HPSA Geographic
Single County
HPSA Geographic
Single County
0
13
4
10
748221
HPSA Geographic
Single County
0
15
748225
HPSA Geographic High Needs
Single County
HPSA Geographic High Needs
Single County
0
16
5
15
Correctional Facility
Correctional Facility
HPSA Geographic High Needs
Single County
HPSA Population
Single County
0
0
0
12
12
15
2
13
HPSA Geographic High Needs
Single County
HPSA Geographic
Census Tract
HPSA Geographic High Needs
Single County
0
14
1
19
0
21
Comprehensive Health Center
Comprehensive Health Center
Comprehensive Health Center
HPSA Population
Single County
1
1
14
16
19
13
748233
HPSA Geographic
Single County
0
16
148235
HPSA Geographic
Single County
0
16
748237
HPSA Geographic
Single County
HPSA Population
Single County
0
13
0
16
Rural Health Clinic
HPSA Geographic
0
2
0
10
648219
221 - Hood County
Hood County
Hood
223 - Hopkins CountyNo HPSAs in this county.
225 - Houston County
Houston County
Houston
Houston County
Houston
148225
227 - Howard County
Federal Correctional Institution - Big Spring
Federal Correctional Institution - Big Spring
Howard County
Howard
Low Income - Howard County
Howard
148999484H
6489994875
748227
14899948J9
229 - Hudspeth County
Hudspeth County
Hudspeth
Culberson and Hudspeth Counties
9503
Hudspeth County
Hudspeth
748229
148999485B
648229
231 - Hunt County
Community Health Service Agency, Inc.
Community Health Service Agency, Inc.
Community Health Service Agency, Inc.
Low Income - Hunt County
Hunt
148999485C
6489994894
748999481R
1489994854
233 - Hutchinson County
Hutchinson County
Hutchinson
235 - Irion County
Irion County
Irion
237 - Jack County
Jack County
Jack
Low Income - Jack County
Jack
14899948K5
239 - Jackson County
Jackson County Medical Clinic
Jackson County
148999487N
148239
A |Appendix
Jackson
Single County
241 - Jasper County
Christus Jasper Family Practice Clinic
Christus Jasper Memorial Family Practice-Kirbyvill
Christus Jasper Memorial Family Practice-Jasper
Christus Jasper Memorial Family Practice Clinic-Ra
Christus Jasper Family Practice Clinic
Christus Jasper Family Practice Clinic
Jasper County
Jasper
Jasper County
Jasper
148999486Q
148999486I
148999486D
148999486C
64899948E3
748999483E
748241
0
14
0
0
0
15
16
17
8
8
HPSA Geographic
Single County
HPSA Geographic
Single County
HPSA Population
Single County
0
10
0
14
0
6
148999485N
64899948A7
74899948B9
748999482F
648245
Comprehensive Health Center
Comprehensive Health Center
Correctional Facility
Comprehensive Health Center
HPSA Geographic High Needs
Single County
1
51
18
20
12
17
6
748247
HPSA Geographic High Needs
Single County
HPSA Geographic High Needs
Single County
HPSA Geographic High Needs
Single County
0
15
1
14
0
19
0
9
0
0
17
11
11
7
12
1
1
14
15
15
12
648241
Rural Health Clinic
Rural Health Clinic
Rural Health Clinic
Rural Health Clinic
Rural Health Clinic
Rural Health Clinic
HPSA Geographic
Single County
HPSA Geographic High Needs
Single County
0
0
0
243 - Jeff Davis County
Jeff Davis County
Jeff Davis
Jeff Davis County
Jeff Davis
Low Income - Jeff Davis County
Jeff Davis
748243
148243
648999480F
245 - Jefferson County
Gulf Coast Health Center
Gulf Coast Health Center
Federal Correctional Complex - Beaumont
Gulf Coast Health Center
Jefferson County
Jefferson
0
247 - Jim Hogg County
Jim Hogg County
Jim Hogg
Jim Hogg County
Jim Hogg
Jim Hogg County
Jim Hogg
148247
648247
249 - Jim Wells County
Community Action Corporation of South Texas
Community Action Corporation of South Texas
Community Action Corporation of South Texas
Jim Wells County
Jim Wells
Jim Wells County
Jim Wells
Jim Wells County
Jim Wells
148999487B
64899948K7
748999483Z
748249
148249
648249
Comprehensive Health Center
Comprehensive Health Center
Comprehensive Health Center
HPSA Geographic
Single County
HPSA Geographic High Needs
Single County
HPSA Geographic High Needs
Single County
251 - Johnson CountyNo HPSAs in this county.
253 - Jones County
Memorial Health Clinic
Anson Family Wellness Clinic
Kapu Medical Clinic
Memorial Health Clinic
14899948A6
148999486N
148999486M
64899948MV
Rural Health Clinic
Rural Health Clinic
Rural Health Clinic
Rural Health Clinic
A |Appendix
Anson Family Wellness Clinic
Kapu Medical Clinic
Memorial Health Clinic
Anson Family Wellness Clinic
Kapu Medical Clinic
Jones County
Jones
Jones County
Jones
Jones County
Jones
64899948E2
64899948E1
74899948MU
748999483C
748999483B
748253
0
0
0
15
0
0
13
3
11
3
8
HPSA Geographic
Single County
HPSA Geographic High Needs
Single County
HPSA Geographic High Needs
Single County
0
12
3
9
2
8
748257
HPSA Geographic
Single County
3
14
748261
HPSA Geographic
Single County
HPSA Geographic High Needs
Single County
0
10
0
3
HPSA Geographic
Single County
HPSA Geographic
Single County
HPSA Geographic
Single County
0
9
0
7
0
7
748265
HPSA Geographic
Single County
1
16
148999483I
748267
Rural Health Clinic
HPSA Geographic
Single County
0
0
5
11
HPSA Geographic
Single County
HPSA Geographic High Needs
Single County
HPSA Geographic
Single County
0
7
0
7
0
5
148253
648253
Rural Health Clinic
Rural Health Clinic
Rural Health Clinic
Rural Health Clinic
Rural Health Clinic
HPSA Geographic
Single County
HPSA Geographic High Needs
Single County
HPSA Geographic High Needs
Single County
255 - Karnes County
Karnes County
Karnes
Karnes County
Karnes
Karnes County
Karnes
748255
148255
648255
257 - Kaufman County
Kaufman County
Kaufman
259 - Kendall CountyNo HPSAs in this county.
261 - Kenedy County
Kenedy County
Kenedy
Kenedy County
Kenedy
148261
263 - Kent County
Kent County
Kent
Kent County
Kent
Kent County
Kent
748263
148263
648263
265 - Kerr County
Kerr County
Kerr
267 - Kimble County
Junction Medical Clinic
Kimble County
Kimble
269 - King County
King County
King
King County
King
King County
King
748269
148269
648269
A |Appendix
271 - Kinney County
Kinney County
Kinney
Kinney County
Kinney
Kinney County
Kinney
748271
148271
648271
HPSA Geographic
Single County
HPSA Geographic High Needs
Single County
HPSA Geographic High Needs
Single County
0
13
0
20
0
20
HPSA Geographic
Single County
0
15
0
0
0
6
12
11
11
0
12
0
19
1
0
12
18
15
13
2
12
0
22
HPSA Geographic
Single County
HPSA Geographic High Needs
Single County
HPSA Geographic High Needs
Single County
0
15
4
10
2
12
HPSA Geographic High Needs
Single County
HPSA Geographic
Single County
0
13
5
9
Correctional Facility
HPSA Geographic
Single County
0
0
12
12
273 - Kleberg County
Kleberg County
Kleberg
748273
275 - Knox County
Munday Family Clinic
Munday Family Clinic
Munday Family Clinic
Knox County
Knox
Low Income - Knox County
Knox
Knox County
Knox
148999488Z
64899948MF
74899948M9
748275
14899948OI
648275
Rural Health Clinic
Rural Health Clinic
Rural Health Clinic
HPSA Geographic
Single County
HPSA Population
Single County
HPSA Geographic High Needs
Single County
283 - La Salle County
South Texas Rural Health Services
South Texas Rural Health Services
South Texas Rural Health Services
La Salle County
La Salle
La Salle County
La Salle
La Salle County
La Salle
148999485Q
64899948A9
748999482H
748283
148283
648283
Comprehensive Health Center
Comprehensive Health Center
Comprehensive Health Center
HPSA Geographic High Needs
Single County
HPSA Geographic High Needs
Single County
HPSA Geographic High Needs
Single County
277 - Lamar CountyNo HPSAs in this county.
279 - Lamb County
Lamb County
Lamb
Lamb County
Lamb
Lamb County
Lamb
748279
148279
648279
281 - Lampasas County
Lampasas County
Lampasas
Lampasas County
Lampasas
748281
148281
285 - Lavaca CountyNo HPSAs in this county.
287 - Lee County
Giddings State School
Lee County
Lee
74899948ML
748287
A |Appendix
Lee County
Lee
148287
HPSA Geographic
Single County
4
13
748289
HPSA Geographic
Single County
HPSA Geographic High Needs
Single County
0
14
3
16
19
4
8
7
8
289 - Leon County
Leon County
Leon
Leon County
Leon
148289
291 - Liberty County
Health Center of Southeast Texas
Health Center of Southeast Texas
Health Center of Southeast Texas
Liberty County
Liberty
148999489E
64899948J9
748999484H
148291
Comprehensive Health Center
Comprehensive Health Center
Comprehensive Health Center
HPSA Geographic
Single County
14899948OM
14899948OE
64899948M9
64899948M7
74899948M4
74899948M2
748293
Rural Health Clinic
Rural Health Clinic
Rural Health Clinic
Rural Health Clinic
Rural Health Clinic
Rural Health Clinic
HPSA Geographic
Single County
0
0
0
0
0
0
1
7
3
3
7
12
12
15
748295
HPSA Geographic
Single County
HPSA Geographic
Single County
0
10
0
12
0
0
0
0
0
18
12
18
13
2
13
2
7
Rural Health Clinic
Rural Health Clinic
HPSA Geographic
Single County
HPSA Population
Single County
0
0
0
17
21
14
2
7
HPSA Geographic
Single County
HPSA Geographic
0
5
0
5
293 - Limestone County
Family Medicine Center
Parkview Rural Health Clinic
Parkview Rural Health Clinic
Family Medicine Center
Parkview Rural Health Clinic
Family Medicine Center
Limestone County
Limestone
295 - Lipscomb County
Lipscomb County
Lipscomb
Lipscomb County
Lipscomb
148295
297 - Live Oak County
Spohn Three Rivers Family Health Clinic
Federal Correctional Institution - Three Rivers
Federal Correctional Institution - Three Rivers
Federal Correctional Institution - Three Rivers
Live Oak County
Live Oak
Live Oak County
Live Oak
Live Oak/McMullen Counties
Live Oak
14899948A8
1489994878
6489994837
74899948C2
748297
148297
6489994818
Rural Health Clinic
Correctional Facility
Correctional Facility
Correctional Facility
HPSA Geographic
Single County
HPSA Geographic
Single County
HPSA Geographic
Single County
299 - Llano County
Horseshoe Bay Clinic
Horseshoe Bay Clinic
Llano County
Llano
Low Income - Llano County
Llano
148999484U
748999481F
748299
148999486U
301 - Loving County
Loving County
Loving
Loving County
748301
148301
A |Appendix
Loving
Loving County
Loving
648301
Single County
HPSA Geographic
Single County
0
6
303 - Lubbock County
Dba Larry Combest Community Health and Wellness
Texas Tech University Primary Care Clinics
Community Health Center of Lubbock
Dba Larry Combest Community Health and Wellness
Community Health Center of Lubbock
Dba Larry Combest Community Health and Wellness
Community Health Center of Lubbock
Lubbock County
Lubbock
East Lubbock Service Area
10
12
13
14
2.02
22.02
22.04
23
24
25
3.01
3.02
6.03
6.05
6.07
7
9
14899948J1
1489994875
148999485U
64899948L8
64899948B3
74899948A3
748999482L
748303
1489994828
Comprehensive Health Center
Other Facility
Comprehensive Health Center
Comprehensive Health Center
Comprehensive Health Center
Comprehensive Health Center
Comprehensive Health Center
HPSA Geographic
Single County
HPSA Geographic
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
7
12
12
12
8
11
14
15
15
14
14
HPSA Geographic
Single County
HPSA Geographic High Needs
Single County
0
10
1
13
HPSA Geographic High Needs
Single County
HPSA Population
Single County
0
12
0
17
HPSA Geographic High Needs
Single County
HPSA Geographic High Needs
Single County
0
12
3
13
HPSA Geographic
Single County
0
9
9
1
305 - Lynn County
Lynn County
Lynn
Lynn County
Lynn
748305
148305
313 - Madison County
Madison County
Madison
Low Income - Madison County
Madison
748313
14899948OO
315 - Marion County
Marion County
Marion
Marion County
Marion
748315
148315
317 - Martin County
Martin County
Martin
748317
A |Appendix
319 - Mason County
Mason County
Mason
Mason County
Mason
748319
148319
HPSA Geographic
Single County
HPSA Geographic
Single County
0
11
0
13
321 - Matagorda County
Matagorda Episcopal Health Outreach Prog
Palacios Medical Clinic
Matagorda Episcopal Health Outreach Prog
Palacios Medical Clinic
Matagorda Episcopal Health Outreach Prog
Palacios Medical Clinic
Matagorda County
Matagorda
Matagorda County
Matagorda
14899948H9
148999480O
64899948L7
648999480A
74899948A2
748999480I
748321
648321
Comprehensive Health Center
Rural Health Clinic
Comprehensive Health Center
Rural Health Clinic
Comprehensive Health Center
Rural Health Clinic
HPSA Geographic High Needs
Single County
HPSA Geographic High Needs
Single County
0
1
16
10
15
7
20
15
15
8
7
0
0
323 - Maverick County
Kickapoo Tribe of Texas
United Medical Centers
United Medical Centers
United Medical Centers
Maverick County
Maverick
Maverick County
Maverick
Maverick County
Maverick
14899948B1
148999485A
6489994891
748999481N
748323
148323
648323
Native American Tribal Population
Comprehensive Health Center
Comprehensive Health Center
Comprehensive Health Center
HPSA Geographic High Needs
Single County
HPSA Geographic High Needs
Single County
HPSA Geographic High Needs
Single County
0
8
17
21
18
20
12
14
4
20
HPSA Geographic High Needs
Single County
HPSA Geographic High Needs
Single County
0
13
2
10
Comprehensive Health Center
Comprehensive Health Center
Correctional Facility
Comprehensive Health Center
HPSA Population
Single County
HPSA Geographic High Needs
Single County
1
10
14
13
6
16
9
54
7
0
11
0
9
2
7
1
307 - McCulloch County
McCulloch County
McCulloch
McCulloch County
McCulloch
748307
148307
309 - McLennan County
Heart of Texas Communith Health
Heart of Texas Community Health
McLennan County State Juvenile Correctional Facili
Heart of Texas Community Health
Low Income McLennan County
McLennan
McLennan County
McLennan
148999485Z
64899948C1
74899948MM
748999482U
748999481B
648309
0
311 - McMullen County
McMullen County
McMullen
McMullen County
McMullen
Live Oak/McMullen Counties
McMullen
748311
148311
6489994818
HPSA Geographic High Needs
Single County
HPSA Geographic High Needs
Single County
HPSA Geographic
Single County
325 - Medina County
A |Appendix
Medina County
Medina
Medina County
Medina
Medina County
Medina
748325
148325
648325
HPSA Geographic
Single County
HPSA Geographic
Single County
HPSA Geographic
Single County
0
15
9
11
9
8
HPSA Geographic High Needs
Single County
HPSA Geographic
Single County
0
11
0
12
4
13
19
20
11
327 - Menard County
Menard County
Menard
Menard County
Menard
748327
148327
329 - Midland County
Midland Community Healtcare Services, Inc.
Midland Community Healthcare Services, Inc.
Midland Community Healthcare Services, Inc.
Midland County
Midland
14899948E8
64899948E4
74899948F2
748329
Comprehensive Health Center
Comprehensive Health Center
Comprehensive Health Center
HPSA Geographic
Single County
748331
HPSA Geographic
Single County
HPSA Geographic High Needs
Single County
0
16
8
7
HPSA Geographic
Single County
HPSA Geographic High Needs
Single County
0
11
1
11
HPSA Geographic High Needs
Single County
HPSA Population
Single County
HPSA Geographic High Needs
Single County
0
12
0
13
1
10
0
0
14
5
8
40
12
16
17
7
331 - Milam County
Milam County
Milam
Milam County
Milam
148331
333 - Mills County
Mills County
Mills
Mills County
Mills
748333
148333
335 - Mitchell County
Mitchell County
Mitchell
Low Income - Mitchell County
Mitchell
Mitchell County
Mitchell
748335
148999488O
648335
337 - Montague County
Nocona Medical Clinic PA
Montague County
Montague
Montague County
Montague
14899948A1
748337
148337
Rural Health Clinic
HPSA Geographic
Single County
HPSA Geographic
Single County
339 - Montgomery County
Lone Star Community Health Center
Lone Star Community Health
Lone Star Community Health Center
East Service Area
6922
6923
6924
6925
148999487A
64899948H4
748999483Y
14899948P8
Comprehensive Health Center
Comprehensive Health Center
Comprehensive Health Center
HPSA Geographic
Census Tract
Census Tract
Census Tract
Census Tract
A |Appendix
6926.01
6926.02
6927
6928.01
6928.02
6929
6930
6931.01
6931.02
6934
6935
6938
6939
6940
6941.01
6941.02
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
341 - Moore County
Moore County
Moore
Low Income - Moore County
Moore
748341
HPSA Geographic
Single County
HPSA Population
Single County
0
14
2
9
148343
HPSA Geographic
Single County
2
12
748345
HPSA Geographic High Needs
Single County
HPSA Geographic High Needs
Single County
HPSA Geographic High Needs
Single County
0
12
0
9
0
11
Comprehensive Health Center
Comprehensive Health Center
Comprehensive Health Center
HPSA Geographic High Needs
Single County
HPSA Population
Single County
HPSA Population
Single County
1
3
18
17
20
15
0
16
4
12
HPSA Geographic
Single County
HPSA Geographic High Needs
Single County
1
16
16
7
0
13
1489994874
343 - Morris County
Morris County
Morris
345 - Motley County
Motley County
Motley
Motley County
Motley
Motley County
Motley
148345
648345
347 - Nacogdoches County
East Texas Community Health Services
East Texas Community Health Services
East Texas Community Health Services
Nacogdoches County
Nacogdoches
Low Income - Nacogdoches
Nacogdoches
Low Income - Nacogdoches County
Nacogdoches
148999485L
64899948A4
748999482B
748347
1489994859
6489994835
349 - Navarro County
Navarro County
Navarro
Navarro County
Navarro
748349
148349
351 - Newton County
Newton County
Newton
748351
HPSA Geographic
Single County
A |Appendix
Newton County
Newton
Low Income - Newton County
Newton
148351
HPSA Geographic High Needs
Single County
HPSA Population
Single County
4
11
0
15
14899948OJ
64899948MI
74899948MC
748353
Rural Health Clinic
Rural Health Clinic
Rural Health Clinic
HPSA Geographic
Single County
0
0
0
0
6
10
16
13
14899948F1
14899948A4
64899948K5
748999484R
74899948MO
Comprehensive Health Center
Rural Health Clinic
Comprehensive Health Center
Comprehensive Health Center
HPSA Population
Single County
1
12
0
13
21
18
64899948MC
353 - Nolan County
Rolling Plains Rural Health Clinic, L.L.C
Rolling Plains Rural Health Clinic, LLC
Rolling Plains Rural Health Clinic, LLC
Nolan County
Nolan
355 - Nueces County
Amistad Community Health Center
Robstown Health Center
Amistad Community Health Center
Amistad Community Health Center
Low Income - Nueces County
Nueces
357 - Ochiltree County
Ochiltree County
Ochiltree
748357
HPSA Geographic
Single County
0
13
748359
HPSA Geographic
Single County
HPSA Geographic
Single County
HPSA Geographic
Single County
0
7
0
15
0
12
23
0
7
13
11
HPSA Geographic
Single County
HPSA Population
Single County
0
15
0
12
HPSA Geographic
Single County
HPSA Geographic
Single County
HPSA Geographic
Single County
0
14
6
13
4
9
HPSA Geographic
0
13
359 - Oldham County
Oldham County
Oldham
Oldham County
Oldham
Oldham County
Oldham
148359
648359
361 - Orange County
Vidor Community Health Clinic, Inc.
Orange County
Orange
Orange County
Orange
14899948A9
148361
648361
Rural Health Clinic
HPSA Geographic
Single County
HPSA Geographic
Single County
363 - Palo Pinto County
Palo Pinto County
Palo Pinto
Low Income - Palo Pinto County
Palo Pinto
748363
1489994896
365 - Panola County
Panola County
Panola
Panola County
Panola
Panola County
Panola
748365
148365
648365
367 - Parker CountyNo HPSAs in this county.
369 - Parmer County
Parmer County
748369
A |Appendix
Parmer
Parmer County
Parmer
148369
Single County
HPSA Geographic High Needs
Single County
2
18
0
0
0
0
0
20
17
13
14
1
16
3
14
2
5
16
13
10
19
9
45
10
0
11
21
9
14
2
10
371 - Pecos County
George Rural Health Center
Family Care Center
Family Care Center
Family Care Center
Pecos County
Pecos
Low Income - Pecos County
Pecos
Pecos County
Pecos
148999488U
1489994861
648999480P
748999481S
748371
148999485G
648371
Rural Health Clinic
Rural Health Clinic
Rural Health Clinic
Rural Health Clinic
HPSA Geographic
Single County
HPSA Population
Single County
HPSA Geographic High Needs
Single County
373 - Polk County
Alabama-Coushatta Tribe of Texas
Polk County
Polk
Polk County
Polk
14899948B3
748373
148373
Native American Tribal Population
HPSA Geographic High Needs
Single County
HPSA Geographic High Needs
Single County
375 - Potter County
South Potter
106
107
110
119
120
122
126
128
130
139
141
145
147
148
149
150
152
153
154
Potter/Randall Counties
Potter
148999484G
64899948MQ
HPSA Geographic High Needs
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
HPSA Geographic
Single County
377 - Presidio County
Presidio County Health Clinic
Presidio County Health Clinic
Presidio County Health Clinic
Presidio County
Presidio
Presidio County
14899948C7
64899948J2
748999484K
748377
148377
Comprehensive Health Center
Comprehensive Health Center
Comprehensive Health Center
HPSA Geographic High Needs
Single County
HPSA Geographic High Needs
A |Appendix
Presidio
Presidio County
Presidio
648377
Single County
HPSA Geographic High Needs
Single County
1
20
HPSA Geographic
Single County
HPSA Geographic
Single County
0
10
2
12
64899948MQ
HPSA Geographic
Single County
45
10
748383
HPSA Geographic
Single County
HPSA Geographic
Single County
0
9
1
13
HPSA Geographic
Single County
HPSA Geographic High Needs
Single County
HPSA Population
Single County
0
12
0
19
0
11
0
0
0
15
16
18
13
2
15
2
11
0
0
13
2
17
2
12
379 - Rains County
Rains County
Rains
Rains County
Rains
748379
148379
381 - Randall County
Potter/Randall Counties
Randall
383 - Reagan County
Reagan County
Reagan
Reagan County
Reagan
148383
385 - Real County
Real County
Real
Real County
Real
Low Income - Real County
Real
748385
148385
648999480E
387 - Red River County
Bogata Medical Clinic
Bogata Medical Clinic
Bogata Medical Clinic
Red River County
Red River
Red River County
Red River
Red River County
Red River
148999488M
648999480D
748999480S
748387
148387
648387
Rural Health Clinic
Rural Health Clinic
Rural Health Clinic
HPSA Geographic
Single County
HPSA Geographic High Needs
Single County
HPSA Geographic
Single County
389 - Reeves County
Pecos Valley Rural Health Clinic
Reeves County
Reeves
Reeves County
Reeves
Reeves County
Reeves
14899948A2
748389
148389
648389
Rural Health Clinic
HPSA Geographic
Single County
HPSA Geographic High Needs
Single County
HPSA Geographic High Needs
Single County
391 - Refugio County
Refugio County
Refugio
148391
HPSA Geographic High Needs
Single County
2
12
748393
HPSA Geographic
Single County
HPSA Geographic
0
10
0
9
393 - Roberts County
Roberts County
Roberts
Roberts County
148393
A |Appendix
Roberts
Roberts County
Roberts
648393
Single County
HPSA Geographic
Single County
0
2
0
16
4
10
1
15
0
5
3
8
14
3
11
395 - Robertson County
Robertson County
Robertson
Robertson County
Robertson
Robertson County
Robertson
748395
148395
648395
HPSA Geographic High Needs
Single County
HPSA Geographic High Needs
Single County
HPSA Geographic High Needs
Single County
397 - Rockwall CountyNo HPSAs in this county.
399 - Runnels County
Ballinger Hospital Clinic
Ballinger Hospital Clinic
Ballinger Hospital Clinic
Runnels County
Runnels
Runnels County
Runnels
14899948K4
64899948M6
74899948C3
748399
148399
Rural Health Clinic
Rural Health Clinic
Rural Health Clinic
HPSA Geographic High Needs
Single County
HPSA Geographic High Needs
Single County
401 - Rusk County
Mt. Enterprise Community Health Center
East Texas Medical Center-Henderson
Mt. Enterprise Community Health Center
East Texas Medical Center-Henderson
Mt. Enterprise Community Health Center
East Texas Medical Center-Henderson
Rusk County
Rusk
14899948J4
148999482O
64899948M2
648999480G
74899948A6
7489994815
748401
Comprehensive Health Center
Rural Health Clinic
Comprehensive Health Center
Rural Health Clinic
Comprehensive Health Center
Rural Health Clinic
HPSA Geographic
Single County
0
0
16
4
16
6
20
16
16
148999484O
148999484I
748403
Rural Health Clinic
Rural Health Clinic
HPSA Geographic
Single County
HPSA Geographic High Needs
Single County
0
0
0
4
4
13
2
18
HPSA Geographic High Needs
Single County
HPSA Geographic High Needs
Single County
0
13
2
12
HPSA Geographic
Single County
HPSA Geographic High Needs
Single County
HPSA Geographic High Needs
Single County
0
16
4
15
1
16
0
0
403 - Sabine County
Toledo Bend Family Medicine
Sabine Family Medical Center
Sabine County
Sabine
Sabine County
Sabine
148403
405 - San Augustine County
San Augustine County
San Augustine
San Augustine County
San Augustine
748405
148405
407 - San Jacinto County
San Jacinto County
San Jacinto
San Jacinto County
San Jacinto
San Jacinto County
San Jacinto
748407
148407
648407
409 - San Patricio County
A |Appendix
Taft Health Center
San Patricio County
San Patricio
San Patricio County
San Patricio
14899948A7
748409
148409
Rural Health Clinic
HPSA Geographic
Single County
HPSA Geographic
Single County
0
0
17
14
10
HPSA Geographic High Needs
Single County
HPSA Geographic
Single County
0
12
1
14
Rural Health Clinic
Rural Health Clinic
Rural Health Clinic
HPSA Geographic
Single County
HPSA Geographic
Single County
HPSA Geographic High Needs
Single County
0
0
0
0
16
6
16
8
0
14
0
15
HPSA Geographic
Single County
HPSA Population
Single County
0
14
0
14
0
11
3
15
10
1
7
0
14
411 - San Saba County
San Saba County
San Saba
San Saba County
San Saba
748411
148411
413 - Schleicher County
Schleicher County Family Clinic
Schleicher County Family Clinic
Schleicher County Family Clinic
Schleicher County
Schleicher
Schleicher County
Schleicher
Schleicher County
Schleicher
148999487P
648999480W
7489994843
748413
148413
648413
415 - Scurry County
Scurry County
Scurry
Low Income - Scurry County
Scurry
748415
148999484P
417 - Shackelford County
Shackelford County Community Resource Center
Shackelford County Community Resource Center
Shackelford County Community Resource Center
Shackelford County
Shackelford
Shackelford County
Shackelford
Shackelford County
Shackelford
148999489B
64899948F8
748999483Q
748417
148417
648417
Comprehensive Health Center
Comprehensive Health Center
Comprehensive Health Center
HPSA Geographic
Single County
HPSA Geographic
Single County
HPSA Geographic
Single County
419 - Shelby County
The Hope Project, Inc.
Etmc First Physicians Clinic Center
The Hope Project Inc.
The Hope Project Inc.
Shelby County
Shelby
Shelby County
Shelby
Shelby County
Shelby
14899948G3
148999483S
64899948K9
74899948M1
748419
148419
648419
Comprehensive Health Center
Rural Health Clinic
Comprehensive Health Center
Comprehensive Health Center
HPSA Geographic
Single County
HPSA Geographic High Needs
Single County
HPSA Geographic High Needs
Single County
0
17
0
21
21
16
7
8
5
9
0
9
0
421 - Sherman County
Sherman County
Sherman
748421
HPSA Geographic
Single County
A |Appendix
Sherman County
Sherman
Sherman County
Sherman
148421
648421
HPSA Geographic
Single County
HPSA Geographic
Single County
0
14
0
12
Comprehensive Health Center
Comprehensive Health Center
Comprehensive Health Center
0
0
0
14
19
19
HPSA Geographic
Single County
0
9
423 - Smith County
Tyler Family Circle of Care
Tyler Family Circle of Care
Tyler Family Circle of Care
148999487K
648999480T
748999483G
425 - Somervell County
Somervell County
Somervell
748425
427 - Starr County
Family Health Clinic ROMA
Family Health Center, LLP
Family Medical and Specialty Clinic
Family Health Center, LLP
Family Medical and Specialty Clinic
Family Health Clinic ROMA
Family Health Center, LLP
Family Medical and Specialty Clinic
Family Health Clinic ROMA
Starr County
Starr
Starr County
Starr
Starr County
Starr
14899948A3
148999486L
148999486J
64899948C9
64899948C8
648999480H
748999483A
748999482Y
748999481C
748427
148427
648427
Rural Health Clinic
Rural Health Clinic
Rural Health Clinic
Rural Health Clinic
Rural Health Clinic
Rural Health Clinic
Rural Health Clinic
Rural Health Clinic
Rural Health Clinic
HPSA Geographic High Needs
Single County
HPSA Geographic High Needs
Single County
HPSA Geographic High Needs
Single County
0
1
17
17
17
0
0
25
0
0
21
20
20
9
6
21
Rural Health Clinic
Rural Health Clinic
Rural Health Clinic
HPSA Geographic
Single County
HPSA Geographic
Single County
0
0
0
0
5
9
11
14
2
10
HPSA Geographic
Single County
HPSA Geographic
Single County
0
10
0
8
HPSA Geographic
Single County
HPSA Geographic High Needs
Single County
0
10
0
8
HPSA Geographic
Single County
HPSA Population
0
9
1
9
1
1
0
429 - Stephens County
Stephens County Medical Clinic
Stephens County Medical Clinic
Stephens County Medical Clinic
Stephens County
Stephens
Stephens County
Stephens
148999486S
648999480O
748999481O
748429
648429
431 - Sterling County
Sterling County
Sterling
Sterling County
Sterling
148431
648431
433 - Stonewall County
Stonewall County
Stonewall
Stonewall County
Stonewall
748433
648433
435 - Sutton County
Sutton County
Sutton
Low Income - Sutton County
748435
14899948OV
A |Appendix
Sutton
Single County
437 - Swisher County
Swisher County
Swisher
Swisher County
Swisher
748437
148437
HPSA Geographic
Single County
HPSA Geographic High Needs
Single County
0
13
2
13
439 - Tarrant County
North Texas Area Community Health Center, Inc.
Federal Correctional Institution - Fort Worth
Federal Medical Center - Carswell
North Texas Area Community Health Center, Inc.
Federal Correctional Institution - Fort Worth
Federal Medical Center - Carswell
North Texas Area Community Health Center, Inc.
Federal Medical Center - Carswell
Poly/Stop Six
1035
1036.01
1036.02
1037.01
1037.02
1046.01
1046.04
1062.01
1062.02
1063
14899948H2
148999484K
148999484J
64899948F5
6489994877
6489994876
748999483N
748999480Y
1489994805
Comprehensive Health Center
Correctional Facility
Correctional Facility
Comprehensive Health Center
Correctional Facility
Correctional Facility
Comprehensive Health Center
Correctional Facility
HPSA Geographic High Needs
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
0
12
15
12
12
20
12
12
17
12
8
7
10
0
20
21
17
13
0
10
0
12
HPSA Geographic
Single County
HPSA Population
Single County
HPSA Geographic High Needs
Single County
0
13
1
12
2
12
Rural Health Clinic
Rural Health Clinic
0
0
3
6
0
0
0
0
441 - Taylor County
Taylor County
Taylor
748441
HPSA Geographic
Single County
443 - Terrell County
Cactus Health Services, Inc.
Cactus Health Services, Inc.
Cactus Health Services, Inc.
Terrell County
Terrell
Terrell County
Terrell
Terrell County
Terrell
148999486Z
64899948H3
748999483X
748443
148443
648443
Comprehensive Health Center
Comprehensive Health Center
Comprehensive Health Center
HPSA Geographic
Single County
HPSA Geographic High Needs
Single County
HPSA Geographic High Needs
Single County
445 - Terry County
Terry County
Terry
Low Income - Terry County
Terry
Terry County
Terry
748445
14899948D6
648445
447 - Throckmorton County
Throckmorton County Rural Health Care Clinic
Throckmorton County Rural Health Care Clinic
14899948ON
64899948MG
A |Appendix
Throckmorton County Rural Health Care Clinic
Throckmorton County
Throckmorton
Throckmorton County
Throckmorton
74899948MA
748447
648447
Rural Health Clinic
HPSA Geographic
Single County
HPSA Geographic
Single County
0
0
9
9
0
11
HPSA Population
Single County
HPSA Population
Single County
4
7
2
13
1
5
5
0
15
449 - Titus County
Low Income - Titus County
Titus
Low Income - Titus County
Titus
14899948OX
6489994885
451 - Tom Green County
La Esperanza Clinic, Inc.
La Esperanza Clinic, Inc.
La Esperanza Clinic, Inc.
Low Income - Tom Green County
Tom Green
148999487U
64899948F1
748999484V
6489994844
Comprehensive Health Center
Comprehensive Health Center
Comprehensive Health Center
HPSA Population
Single County
14899948PB
14899948OW
64899948MS
64899948MM
74899948MR
74899948MI
148999482F
Comprehensive Health Center
Comprehensive Health Center
Comprehensive Health Center
Comprehensive Health Center
Comprehensive Health Center
Comprehensive Health Center
HPSA Geographic
Census Tract
Census Tract
Census Tract
Census Tract
0
0
0
0
0
0
4
14
11
13
13
18
13
12
748455
HPSA Geographic
Single County
HPSA Geographic High Needs
Single County
HPSA Geographic High Needs
Single County
0
10
4
13
1
15
HPSA Geographic
Single County
HPSA Geographic
Single County
0
14
4
12
148999485S
HPSA Geographic
Census Tract
1
10
748461
HPSA Geographic
Single County
HPSA Geographic
Single County
0
9
1
18
453 - Travis County
People's Community Clinic
Travis County Healthcare District/Dba Communitycar
People's Community Clinic
Travis County Healthcare District/Dba Communitycar
People's Community Clinic
Travis County Healthcare District/Dba Communitycar
North West Service Area
17.65
17.66
17.79
17.80
455 - Trinity County
Trinity County
Trinity
Trinity County
Trinity
Trinity County
Trinity
148455
648455
457 - Tyler County
Tyler County
Tyler
Tyler County
Tyler
748457
148457
459 - Upshur County
Northeast Upshur County
9501
461 - Upton County
Upton County
Upton
Upton County
Upton
148461
A |Appendix
463 - Uvalde County
Community Health Development, Inc.
Community Health Development, Inc.
Community Health Development, Inc.
Uvalde County
Uvalde
Uvalde County
Uvalde
148999484W
64899948B6
748999482P
748463
648463
Comprehensive Health Center
Comprehensive Health Center
Comprehensive Health Center
HPSA Geographic
Single County
HPSA Geographic High Needs
Single County
0
10
20
20
16
5
13
1
18
13
12
11
11
0
16
10
14
3
16
14
9
HPSA Population
Single County
5
12
HPSA Geographic High Needs
Single County
HPSA Geographic
Single County
0
13
3
12
0
0
13
3
9
1
13
HPSA Geographic
Single County
HPSA Geographic
Single County
0
17
9
12
Comprehensive Health Center
1
18
465 - Val Verde County
Val Verde County
Val Verde
Val Verde County
Val Verde
Val Verde County
Val Verde
748465
148465
648465
HPSA Geographic
Single County
HPSA Geographic High Needs
Single County
HPSA Geographic High Needs
Single County
467 - Van Zandt County
Van Zandt County
Van Zandt
Van Zandt County
Van Zandt
748467
148467
HPSA Geographic
Single County
HPSA Geographic
Single County
469 - Victoria County
Victoria County
Victoria
Victoria County
Victoria
748469
648469
HPSA Geographic
Single County
HPSA Geographic
Single County
471 - Walker County
Low Income - Walker County
Walker
148999482W
473 - Waller County
Waller County
Waller
Waller County
Waller
748473
148473
475 - Ward County
Sandhills Family Clinic
Ward County
Ward
Ward County
Ward
Ward County
Ward
148999488Y
748475
148475
648475
Rural Health Clinic
HPSA Geographic
Single County
HPSA Geographic High Needs
Single County
HPSA Geographic High Needs
Single County
477 - Washington County
Washington County
Washington
Washington County
Washington
748477
148477
479 - Webb County
Gateway Community Health Center
148999485P
A |Appendix
Gateway Community Health Center
Gateway Community Health Center
Webb County
Webb
Wharton County
Webb
South Laredo
1.01
1.05
1.06
1.07
1.08
1.09
10.01
10.03
10.04
11.01
11.03
11.04
11.05
12.01
12.02
13
14.01
14.02
15.01
15.02
18.06
18.07
18.08
18.09
19
2
3
6.01
6.02
7
8
9.01
9.03
9.04
Rural Laredo
18.10
18.11
18.12
18.13
18.14
18.15
18.16
18.17
18.18
Webb County
64899948A8
748999482G
748479
748481
148999487W
14899948P3
648479
Comprehensive Health Center
Comprehensive Health Center
HPSA Geographic High Needs
Single County
HPSA Geographic
Single County
HPSA Geographic High Needs
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
HPSA Geographic High Needs
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
HPSA Geographic High Needs
5
17
19
19
0
15
20
14
3
17
32
15
A |Appendix
Webb
Single County
481 - Wharton County
Mid Coast Medical Clinic
Rice Medical Associates-East Bernard
Mid Coast Medical Clinic
Rice Medical Associates-East Bernard
Mid Coast Medical Clinic
Rice Medical Associates-East Bernard
Wharton County
7401
7402
7403
7404
7405
7406
7407
7408
7409
7410
7411
Wharton County
Wharton
14899948H1
148999484D
64899948K3
648999480M
748999484M
748999481I
748481
648481
Rural Health Clinic
Rural Health Clinic
Rural Health Clinic
Rural Health Clinic
Rural Health Clinic
Rural Health Clinic
HPSA Geographic
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
Census Tract
HPSA Geographic High Needs
Single County
0
0
14
13
11
11
12
19
15
8
7
HPSA Geographic
Single County
HPSA Population
Single County
0
11
0
16
Comprehensive Health Center
Comprehensive Health Center
Comprehensive Health Center
HPSA Population
Single County
HPSA Geographic
Single County
1
9
8
12
13
15
23
7
HPSA Geographic
Single County
HPSA Population
Single County
0
15
1
13
HPSA Geographic High Needs
Single County
HPSA Geographic High Needs
Single County
HPSA Geographic High Needs
Single County
0
17
5
13
2
22
Correctional Facility
1
3
0
0
483 - Wheeler County
Wheeler County
Wheeler
Low Income - Wheeler County
Wheeler
748483
1489994884
485 - Wichita County
North Central Texas Community Health Center
Northcentral Texas Community Health Center
Northcentral Texas Community Health Center
Low Income - Wichita County
Wichita
Wichita County
Wichita
148999485W
64899948B5
748999482N
148999482E
648485
487 - Wilbarger County
Wilbarger County
Wilbarger
Low Income - Wilbarger County
Wilbarger
748487
14899948P0
489 - Willacy County
Willacy County
Willacy
Willacy County
Willacy
Willacy County
Willacy
748489
148489
648489
491 - Williamson County
Immigration and Customs Enforcement - Taylor
14899948B8
A |Appendix
Lone Star Circle of Care
Immigration and Customs Enforcement - Taylor
Lone Star Circle of Care
Immigration and Customs Enforcement - Taylor
Lone Star Circle of Care
148999487E
64899948MD
64899948H7
74899948M7
748999484B
Comprehensive Health Center
Correctional Facility
Comprehensive Health Center
Correctional Facility
Comprehensive Health Center
0
1
11
12
18
3
11
493 - Wilson County
Wilson County
Wilson
Wilson County
Wilson
748493
148493
HPSA Geographic
Single County
HPSA Geographic
Single County
1
13
11
7
HPSA Geographic
Single County
HPSA Geographic
Single County
0
12
1
16
HPSA Geographic
Single County
HPSA Population
Single County
HPSA Geographic
Single County
2
11
4
8
10
5
0
8
8
0
13
0
13
2
12
1
13
0
3
6
15
15
0
14
0
14
4
12
2
16
495 - Winkler County
Winkler County
Winkler
Winkler County
Winkler
748495
148495
497 - Wise County
Wise County
Wise
Low Income - Wise County
Wise
Wise County
Wise
748497
148999485O
648497
499 - Wood County
Etmc First Physician Health Clinic
Etmc First Physician Health Clinic
Etmc First Physician Health Clinic
Wood County
Wood
14899948G8
64899948K2
74899948G9
748499
Rural Health Clinic
Rural Health Clinic
Rural Health Clinic
HPSA Geographic
Single County
501 - Yoakum County
Yoakum County
Yoakum
Yoakum County
Yoakum
Yoakum County
Yoakum
748501
148501
648501
HPSA Geographic
Single County
HPSA Geographic
Single County
HPSA Geographic High Needs
Single County
503 - Young County
Lovett-Meredith Rural Health Clinic
Lovett-Meredith Rural Health Clinic
Lovett-Meredith Rural Health Clinic
Young County
Young
Low Income - Young County
Young
14899948J8
64899948M5
74899948B1
748503
14899948OR
Rural Health Clinic
Rural Health Clinic
Rural Health Clinic
HPSA Geographic
Single County
HPSA Population
Single County
505 - Zapata County
Zapata County
Zapata
Zapata County
Zapata
Zapata County
748505
148505
648505
HPSA Geographic High Needs
Single County
HPSA Geographic High Needs
Single County
HPSA Geographic High Needs
A |Appendix
Zapata
Single County
507 - Zavala County
Vida Y Salud Health System
Eduardo Moreno, Rural Health Clinic
Vida Y Salud Health System
Eduardo Moreno, Rural Health Clinic
Vida Y Salud Health System
Eduardo Moreno, Rural Health Clinic
Zavala County
Zavala
Zavala County
Zavala
Zavala County
Zavala
14899948D2
148999482I
6489994888
648999480C
748999481K
748999480R
748507
148507
648507
Comprehensive Health Center
Rural Health Clinic
Comprehensive Health Center
Rural Health Clinic
Comprehensive Health Center
Rural Health Clinic
HPSA Geographic High Needs
Single County
HPSA Geographic High Needs
Single County
HPSA Geographic High Needs
Single County
1
0
0
0
18
15
23
23
21
17
16
3
12
0
23
0
Data as of: 1/1/2015
* This attribute represents the number of non-federal practitioners providing ambulatory patient care in the Health Professional Shortage Area (HPSA) expressed as fulltime equivalents.
Source: US Department of Health and Human Services, Health Resource and Service Administration, 2015
A |Appendix
URGENT CARE AND WALK-IN CLINICS IN TEXAS
(TX) Angelina
1. Urgent Doc- 525 N Brentwood, Lufkin, TX 75904-7124
(TX) Aransas
1. Rockport Urgent Care Facility- 2621 Highway 35 N, Rockport, TX 78382-5708
(TX) Austin
1. Brazos Valley Medical Clinic- 1411 Highway 90 W, Sealy, TX 77474-3854
2. Sealy Urgent Care- 526 5th St., Sealy, TX 77474-2608
3. Sealy Urgent Care Center- 1036 N Circle Dr., Sealy, TX 77474-3336
(TX) Bastrop
1. Texan Urgent Care- 717 Highway 71 W, Bastrop, TX 78602-4148
(TX) Bell
1.
2.
3.
4.
5.
6.
7.
8.
(TX) Bexar
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
22.
23.
24.
25.
26.
AFC Doctors Express Urgent Care- 3614 SW HK Dodgen Loop, Temple, TX 76504
Elm Creek Family & Urgent Care- 3816 S Clear Creek Rd, , TX , Killeen, TX 76549
Elmcreek Family Urgent Care- 3816 S Clear Creek Rd., Killeen, TX 76549-4400
Freedom Urgent Care LLC- 300 W Central Texas Expy., Harker Heights, TX 76548-1888
King’s Daughters Clinic- 1905 SW H K Dodgen Loop, Temple, TX 76502-1814
King's Daughter's Clinic- 401 W Jasper Dr., Killeen, TX 76542-1395
Scott & White Healthcare- 5702 E Central Texas Expy., Killeen, TX 76543-5500
Scott & White Urgent Care- 309 Lake Rd., Belton, TX 76513-1513
Alamo City Medical Group- 408 Navarro St., San Antonio, TX 78205-2502
Alamo Heights Minor Emergency Clinic- 5000 Broadway St., San Antonio, TX 78209-5708
Austin HWY Minor Emergency Family Care Clinic- 8530 Village Dr., San Antonio, TX 78217-5504
Babcock Clinic- 7333 Barlite Blvd., San Antonio, TX 78224-1321
Barlite Medical Clinic- 7333 Barlite Blvd., San Antonio, TX 78224-1321
BFHC Urgent Care- 7579 N Loop 1604 W, San Antonio, TX 78249-2782
Blanco Rd Medical Clinic- 4603 Blanco Rd., San Antonio, TX 78212-1019
Complete Emergency Care- 10628 Culebra Rd., San Antonio, TX 78251-1310
Complete Urgent Care- 5222 De Zavala Rd., San Antonio, TX 78249-1772
Concentra Urgent Care- 10200 Broadway Street, San Antonio, TX 78217
Concentra Urgent Care- 12702 Toepperwein, San Antonio, TX 78233
Concentra Urgent Care- 1904 Grandstand Dr, San Antonio, TX 78238
Concentra Urgent Care- 3453 I-35, San Antonio, TX 78219
Concentra Urgent Care- 3453 IH-35 N, San Antonio, TX 78219-2333
Concentra Urgent Care- 400 E Quincy, San Antonio, TX 78215
Concentra Urgent Care- 414 Navarro, San Antonio, TX 78205-2516
Fossil Creek Urgent Care Clinic- 22250 Bulverde Rd., San Antonio, TX 78261-3082
Gonzaba Medical Group- 1303 McCullough Ave., San Antonio, TX 78212-5607
Gonzaba Medical Group- 902 Bandera Rd., San Antonio, TX 78228-4923
Gonzaba Medical Group Urgent Care- 720 Pleasanton Rd., San Antonio, TX 78214-1306
Health Texas Medical Group- 803 Castroville Rd., San Antonio, TX 78237-3148
HealthTexas Medical Group - SouthWest Clinic- 1920 SW Military Dr., San Antonio, TX 78221-1451
Impact Urgent Care- 16403 Huebner Rd., San Antonio, TX 78248-1683
Impact Urgent Care- 7110 Farm to Market 78, San Antonio, TX 78244-1763
Leon Valley Clinic- 6428 Bandera Rd., San Antonio, TX 78238-1511
Little Spurs Pediatric Urgent Care- 11398 Bandera Rd., San Antonio, TX 78250-6840
B | Appendix
27.
28.
29.
30.
31.
32.
33.
34.
35.
36.
37.
38.
39.
40.
41.
42.
43.
44.
45.
46.
47.
48.
49.
50.
51.
52.
53.
54.
55.
56.
57.
58.
59.
60.
61.
62.
63.
64.
65.
(TX) Bowie
1.
2.
3.
Little Spurs Pediatric Urgent Care- 1714 Southwest Military, San Antonio, TX 78221
Little Spurs Pediatric Urgent Care- 20821 US Highway 281 N, San Antonio, TX 78258-7597
Little Spurs Pediatric Urgent Care- 3130 SE Military Dr., San Antonio, TX 78223-3892
MedPost Urgent Care- 16601 Huebner Road, San Antonio, TX 78248
MedPost Urgent Care- 20210 Stone Oak Parkway, San Antonio, TX 78258
MinuteClinic- 120 E Sonterra Blvd, San Antonio, TX 78258
MinuteClinic- 16580 Huebner Road, San Antonio, TX 78248
MinuteClinic- 22202 Bulverde Road, San Antonio, TX 78261
MinuteClinic- 23530 Wilderness Oak, San Antonio, TX 78258
MinuteClinic- 5301 Alamo Parkway, San Antonio, TX 78253
MinuteClinic- 6915 West Ave, Castle Hills, TX 78213
MinuteClinic- 7603 Culebra Rd, San Antonio, TX 78251
MinuteClinic- 9140 Guilbeau Road, San Antonio, TX 78250
North Central Urgent Care- 19223 Stonehue, San Antonio, TX 78258-3456
Nova Health Systems- 215 W Olmos Dr., San Antonio, TX 78212-1957
OrthoNow Urgent Injury Clinic- 150 E. Sonterra Blvd., San Antonio, TX 78258
OrthoNow Urgent Injury Clinic- 400 Concord Plaza Dr., San Antonio, TX 78216
Pembroke Medical Center- 6387 Babcock Rd., San Antonio, TX 78240-2536
Quality Urgent Care- 19422 US Highway 281 N, San Antonio, TX 78258-7614
Quality Urgent Care- 318 W Loop 1604 N, San Antonio, TX 78245-3194
RediClinic- 1150 NW Loop 1604, San Antonio, TX 78248
RediClinic- 20935 US Hwy 281, San Antonio, TX 78258
RediClinic- 8503 NW Military Hwy, San Antonio, TX 78230
San Antonio Urgent Care- 2235 Thousand Oaks Dr., San Antonio, TX 78232-3967
San Antonio Urgent Care- 9711 Huebner Rd., San Antonio, TX 78240-3164
Southcross Medical Clinic- 4242 E Southcross Blvd., San Antonio, TX 78222-3728
Southwest Urgent Care- 9727 Poteet Jourdanton Fwy., San Antonio, TX 78211-4575
Texan Urgent Care- 13919 Nacogdoches Rd., San Antonio, TX 78217-1283
Texas MedClinic- 1007 NE Loop 410, San Antonio, TX 78209-1205
Texas MedClinic- 1111 SE Military Dr., San Antonio, TX 78214-2801
Texas MedClinic- 11811 Blanco Rd., San Antonio, TX 78216-2407
Texas MedClinic- 23611 W IH 10, San Antonio, TX 78257-1693
Texas MedClinic- 323 N Loop 1604 W, San Antonio, TX 78232-1016
Texas MedClinic- 6530 W Loop 1604 N, San Antonio, TX 78254
Texas MedClinic- 6570 Ingram Rd., San Antonio, TX 78238-3900
Texas MedClinic- 7460 IH-35 North, San Antonio, TX 78218-2700
Texas MedClinic- 8519 State Highway 151, San Antonio, TX 78245-2493
Texas MedClinic- 9207 N Loop 1604 W, San Antonio, TX 78249-2513
Tots N Teens Pediatric Urgent Care- 11019 Culebra Road, San Antonio, TX 78253
Express Care- 5483 Summerhill Rd., Texarkana, TX 75503-4608
HealthCARE Express- 3515 Richmond Rd., Texarkana, TX 75503-0711
HealthCARE Express- 4701 W 7th St., Wake Village, TX 75501
(TX) Brazoria
1. Alvin Emergency Center- 301 Medic Ln., Alvin, TX 77511-5542
2. Bay Area Urgent Care- 3922 Abbeywood Dr., Pearland, TX 77584-4943
3. Brazosport Regional Urgent Center- 508 This Way St., Lake Jackson, TX 77566-5128
4. Health One Pearland Emergency Center- 10970 Shadow Creek Pkwy., Pearland, TX 77584-0100
5. Healthcare Clinic at Walgreens- 8430 Broadway St., Pearland, TX 77584
6. Immediate Medical Care- 2705 EaSt. Broadway St., Pearland, TX 77581-4902
7. Little Spurs Pediatric Urgent Care- 3320 E. Broadway, Pearland, TX 77581
B | Appendix
8.
9.
10.
11.
12.
13.
14.
(TX) Brazos
1.
2.
3.
4.
MinuteClinic- 2900 Broadway St, Pearland, TX 77581-4507
MinuteClinic- 9522 Broadway Street, Pearland, TX 77584
Options Urgent Care & Wellness Center- 208 Oak Dr. S, Lake Jackson, TX 77566-5789
Pearland Healthcare Center- 2404 Smith Ranch Rd., Pearland, TX 77584-5233
Prime Urgent Care- 2510 Smith Ranch Rd., Pearland, TX 77584-5208
RediClinic- 2805 Business Center Dr, Pearland, TX 77581
US Healthworks- 1102 N Brazosport Blvd., Freeport, TX 77541-3504
Brazos Valley Urgent Care- 2911 Texas Ave. S, College Station, TX 77845-5388
Brazos Valley Urgent Care- 841 N Rosemary Dr., Bryan, TX 77802-4310
Scott & White Clinic- 1600 University Dr. E, College Station, TX 77840-2199
St. Joseph Express Medical Urgent Care- 4401 State Hwy. 6 S, College Station, TX 77845-4428
(TX) Cameron
1. Boys & Girls Urgent Care- 5005 Ibc Cir, Brownsville, TX 78526-4361
2. Brownsville Urgent Care- 2050 N Expressway, Brownsville, TX 78521-1734
3. Central Medical Clinic- 2300 Central Blvd., Brownsville, TX 78520-8714
4. Family Night Clinic- 2226 Haine Dr., Harlingen, TX 78550-8549
5. MedPost Urgent Care- 275 E Morrison Road, Brownsville, TX 78526
6. Urgent Center LP- 1100 N Expressway 83, Brownsville, TX 78521-1407
(TX) Cass
1.
HealthCARE Express- 106 S. Loop Hwy. 59, Atlanta, TX 75551
(TX) Collin
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
22.
23.
24.
7 Days Urgent Care- 6150 Independence Pkwy., Plano, TX 75023
Acute Kids Urgent Care- 4500 HillcreSt. Rd., Frisco, TX 75035-5419
CareNow- 1218 W McDermott Dr., Allen, TX 75013-6304
CareNow- 3821 W Spring Creek Pkwy., Plano, TX 75023-3808
CareNow- 809 N Central Expy., McKinney, TX 75070-3303
Concentra Urgent Care- 1300 N. Central Expressway, Plano, TX 75074
E-Care Emergency Center- 2810 S Hardin Blvd., McKinney, TX 75070-7531
Emerus ER- 6045 Alma Rd., McKinney, TX 75070-2190
Immedicare Clinic of Plano- 3100 Independence Pkwy., Plano, TX 75075-1964
Legacy ER & Urgent Care- 1310 W Exchange Pkwy., Allen, TX 75013
Medical City Children's Hospital Urgent Care- 109 North Central Expressway, Allen, TX 75013
Medical City Children's Hospital Urgent Care- 8080 Highway 121, McKinney, TX 75070
MedPost Urgent Care- 6700 Virginia Parkway, McKinney, TX 75071
MinuteClinic- 1540 E Main St, Allen, TX 75002-4486
MinuteClinic- 2100 W El Dorado Pkwy, Mckinney, TX 75070-4356
MinuteClinic- 2101 W Spring Creek Pkwy, Plano, TX 75023-4103
MinuteClinic- 311 E. Princeton Drive, Princeton, TX 75407
MinuteClinic- 8940 Coit Road, Plano, TX 75025
MinuteClinic- 8995 Stacy Rd, McKinney, TX 75070-2167
Pediatrics After Hours- 7212 Independence Pkwy., Plano, TX 75025-5763
PrimaCare Medical Center- 1920 W Eldorado Pkwy., McKinney, TX 75069-8081
PrimaCare Medical Center- 3304 Alma Dr., Plano, TX 75023-7333
Urgent Care Clinic of Plano- 3909 W Parker Rd., Plano, TX 75023-6161
Urgent Care for Kids- 6171 Virginia Pkwy., McKinney, TX 75071
(TX) Comal
1.
RediClinic- 20725 Hwy 46 W, Bulverde, TX 78070
B | Appendix
2.
3.
4.
5.
Resolute Health Family Urgent Care- 160 Creekside Way, New Braunfels, TX 78130-6396
Texas MedClinic- 958 IH 35N, New Braunfels, TX 78130-3731
Urgent Care & Occupational Health Centers of Texas- 1659 W State Highway 46, New Braunfels, TX
78132-4744
Urgent Care & Occupational Health Centers of Texas- 19750 State Highway 46 W, Spring Branch, TX
78070-6881
(TX) Coryell
1. Precision Urgent Care- 3010 E Highway 190, Copperas Cove, TX 76522-2517
(TX) Dallas
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
22.
23.
24.
25.
26.
27.
28.
29.
30.
31.
32.
33.
34.
35.
36.
37.
38.
39.
40.
41.
42.
1st Class Urgent Care- 529 N Galloway Avenue, Mesquite, TX 75149
AFC Doctors Express Urgent Care- 4727 Frankford Rd., Dallas, TX 75287
Bumps N' Bruises Pediatric Urgent Care- 2251 Matlock Rd., Mansfield, TX 76063
Care Now- 39769 Lyndon B Johnson Fwy., Dallas, TX 75237-3560
CareNow- 14856 Preston Rd., Dallas, TX 75254-9197
CareNow- 2355 E Grapevine Mills Cir., Grapevine, TX 76051-2047
CareNow- 345 N Highway 67, Cedar Hill, TX 75104-2134
CareNow- 3950 S Carrier Pkwy., Grand Prairie, TX 75052-6608
CareNow- 400 Mid Cities Blvd., Hurst, TX 76054-2430
CareNow- 5301 William D Tate Ave., Grapevine, TX 76051-7357
CareNow- 5405 S Cooper St., Arlington, TX 76017-6148
CareNow- 565 W I 30, Garland, TX 75043-5702
CareNow- 7145 N George Bush Hwy., Garland, TX 75044-2988
CityDoc - Inwood Village- 5301 W Lovers Ln., Dallas, TX 75209-4221
CityDoc- 2891 Matlock Rd., Mansfield, TX 76063-5034
CityDoc Uptown Urgent Care- 2909 McKinney Ave., Dallas, TX 75204-7413
Complete Med Care- 8989 Forest. Ln., Dallas, TX 75243-4159
Concentra Urgent Care- 1345 Valwood Pkwy, Carrollton, TX 75006
Concentra Urgent Care- 15810 Midway Rd, Addison, TX 75001
Concentra Urgent Care- 1621 S Jupiter Rd, Garland, TX 75042
Concentra Urgent Care- 2160 E. Lamar Blvd., Arlington, TX 76006
Concentra Urgent Care- 2920 N., Dallas, TX 75247
Concentra Urgent Care- 4928 Samuell Blvd., Mesquite, TX 75149
Concentra Urgent Care- 5520 Westmoreland, Dallas, TX 75237
Concentra Urgent Care- 5601 Greenville Ave., Dallas, TX 75206
Concentra Urgent Care- 5910 N. MacArthur Blvd., Irving, TX 75039
Cooper Street Medical Clinic- 2360 F.M. 157, Mansfield, TX 76063
Desoto Emergency Care Center- 911 N Hampton Rd., Desoto, TX 75115-3903
EMC ExpressCare- 8245 PrecinCt. Line Rd., North Richland Hills, TX 76182-8674
Expedian Care - Urgent Care Center- 980 N Walnut Creek Dr, Mansfield, TX 76063-8020
Extended Hours Clinic- 2010 S Shiloh Rd., Garland, TX 75041-1336
Family Health Care Associates- 1926 SW Green Oaks Blvd., Arlington, TX 76017-2735
Family Health Care Associates- 2821 E President George Bush Hwy., Richardson, TX 75082-4266
Family Medical Clinics of Dallas- 1111 S Irving Heights Dr., Irving, TX 75060-6237
Family Medical Clinics of Dallas- 2815 S Hampton Rd., Dallas, TX 75224-2329
Family Medical Clinics of Dallas- 9709 Bruton Rd., Dallas, TX 75217-2704
Fast Er Care- 4011 E Renner Rd., Richardson, TX 75082-2917
Grand Prairie Urgent Care- 5204 S Hwy. 360, Grand Prairie, TX 75052-0947
Health Care Clinics- 5315 Ross Ave., Dallas, TX 75206-7418
Healthcare Clinic at Walgreens- 4400 W Green Oaks Blvd., Arlington, TX 76016-5608
K Clinic- 609 S Main St., Duncanville, TX 75116-4713
Kclinic Urgent Care- 1602 S 1St. St., Garland, TX 75040-8403
B | Appendix
43.
44.
45.
46.
47.
48.
49.
50.
51.
52.
53.
54.
55.
56.
57.
58.
59.
60.
61.
62.
63.
64.
65.
66.
67.
68.
69.
70.
71.
72.
73.
74.
75.
76.
77.
78.
79.
80.
81.
82.
83.
84.
85.
86.
(TX) Denton
1.
2.
3.
4.
5.
6.
7.
Kclinic Urgent Care- 200 W Colorado Blvd., Dallas, TX 75208-2326
Kclinic Urgent Care- 5414 ForeSt. Ln., Dallas, TX 75244-8008
Las Colinas Urgent Care- 7447 N Macarthur Blvd., Irving, TX 75063-7509
Launey Medical & Surgical Group- 9528 Webb Chapel Rd., Dallas, TX 75220-4938
Mansfield Urgent Care- 1811 Highway 287 N, Mansfield, TX 76063-7595
medALERT- 3141 Irving Blvd., Dallas, TX 75247-6227
Medical City Children's Hospital Urgent Care- 6805 W Northwest Hwy., Dallas, TX 75225
MedPost Urgent Care- 9540 Garland Road, Dallas, TX 75218
MedSpring Urgent Care- 4617 N Central Expressway, Dallas, TX 75205
MinuteClinic- 11661 Preston Road,, Dallas, TX 75320
MinuteClinic- 1413 Oates Dr, Mesquite, TX 75150-1345
MinuteClinic- 2200 Matlock Road, Mansfield, TX 76063
MinuteClinic- 3701 Ira E Woods Ave, Grapevine, TX 76051-4213
MinuteClinic- 5500 N Macarthur Blvd, Irving, TX 75038-2603
MinuteClinic- 5702 Lavon Dr, Garland, TX 75040
MinuteClinic- 5900 W. Pleasant Ridge Rd., Arlington, TX 76016
MinuteClinic- 605 West Campbell Road, Richardson, TX 75080
MinuteClinic- 6120 E Mockingbird Ln, Dallas, TX 75214
MinuteClinic- 6401 Precinct Line Rd, North Richland Hills, TX 76182-4815
MinuteClinic- 8335 Westchester Dr Ste 140, Dallas, TX 75225-5717
MLK Family Clinic- 2922-B Mlk Blvd., Dallas, TX 75215
North Beltline Minor Emergency- 3989 N Belt Line Rd., Irving, TX 75038-5706
Northeast Urgent Care- 6316 Precinct. Line Rd., Hurst, TX 76054-2766
Nova Medical Centers - Grand Prairie- 805 W North Carrier Pkwy., Grand Prairie, TX 75050-1044
Nova Medical Centers - Love Field- 8267 Elmbrook Dr., Dallas, TX 75247-4051
Nova Medical Centers – Mesquite- 1900 Oates Dr., Mesquite, TX 75150-6802
Occupational Urgent Care Health Systems- 222 Las Colinas Blvd. W, Irving, TX 75039-5421
Patient Place- 3464 Webb Chapel Ext., Dallas, TX 75220
Patient Place Clinic- 2636 W Walnut St., Garland, TX 75042-5916
Pediatrics After Hours- 7150 N President George Bush Hwy., Garland, TX 75044-2209
Pioneer Medical Clinic- 1335 N Belt Line Rd., Irving, TX 75061-4037
PrimaCare Medical Center- 11888 Marsh Ln., Dallas, TX 75234-8083
PrimaCare Medical Center- 1280 N Town East. Blvd., Mesquite, TX 75150-4606
PrimaCare Medical Center- 1810 N Plano Rd., Richardson, TX 75081-1916
PrimaCare Medical Center- 6350 E Mockingbird Ln., Dallas, TX 75214-2622
PrimaCare Medical Center- 642 Uptown Blvd., Cedar Hill, TX 75104-3519
PrimaCare Medical Center- 7910 Belt Line Rd., Dallas, TX 75254-8130
PrimaCare Medical Center- 9901 Royal Lane, Dallas, TX 75231
The Neighborhood Doctor- 1001 NE Green Oaks Blvd., Arlington, TX 76006-2317
The Neighborhood Doctor- 5201 S Cooper St., Arlington, TX 76017-5964
Urgent Care at Alera Medical Center- 8877 Harry Hines Blvd., Dallas, TX 75235-1715
Urgent Care at Children's Medical Center- 1935 Motor St., Dallas, TX 75235-7701
US Healthworks- 1450 Empire Central Dr., Dallas, TX 75247-4081
US Healthworks- 3604 Belt Line Rd., Dallas, TX 75234-2424
CareNow- 3751 S Interstate 35 E, Denton, TX 76210-6852
Denton Regional Urgent Care- 2520 W University Dr., Denton, TX 76201-1616
Flower Mound Family Health Center- 2261 Olympia Dr., Flower Mound, TX 75028
Flower Mound Family Physicians- 2609 Sagebrush Dr., Flower Mound, TX 75028-2733
Lumin Convenient CARE- 2628 Long Prairie Rd, Flower Mound, TX 75022
Main Street Medical Care- 571 W Main St., Lewisville, TX 75057-3667
Medical City Children's Hospital Urgent Care- 2701 Cross Timbers, Flower Mound, TX 75028
B | Appendix
8.
9.
10.
11.
12.
13.
14.
Minor Emergency of Denton- 4400 Teasley Ln., Denton, TX 76210-4652
MinuteClinic- 1100 Flower Mound Rd, Flower Mound, TX 75028-3503
MinuteClinic- 11101 US Highway 380, Cross Roads, TX 76227
MinuteClinic- 3200 Teasley Ln, Denton, TX 76210-8322
PrimaCare Medical Center- 540 Surf St., Lewisville, TX 75067-3526
Rapid Med Urgent Care- 2940 Justin Rd., Lewisville, TX 75077-7045
Today Clinic- 1318A W Main St., Lewisville, TX 75067-3326
(TX) Ector
1.
2.
3.
4.
5.
6.
7.
Center for Primary Care- 3001 JBS Parkway, Odessa, TX 79761
MCH Center for Primary Care- 6030 W University Blvd., Odessa, TX 79763
ProCare Urgent Care- 315 Golder Ave., Odessa, TX 79761-5060
ProCare Urgent Care- 8050 East Highway 191, Odessa, TX 79765
The Clinic at Walmart- 2450 NW Loop 338, Odessa, TX 79763
The Clinic at Walmart- 4210 John Ben Shepherd, Odessa, TX 79762
University Prompt Care- 2651 Kermit Hwy., Odessa, TX 79763-2542
(TX) El Paso
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
Concentra Urgent Care- 1610 N. Zaragosa Road, El Paso, TX 79936
Concentra Urgent Care- 6320 Gateway Blvd. E, El Paso, TX 79905
Dade City Urgent Care- 616 Mount Cristo Rey Ln., El Paso, TX 79922-2345
El Paso Primary Healthcare Physicians- 1418 George Dieter Dr., El Paso, TX 79936-7651
El Paso Urgent Care Center- 10501 Gateway Blvd. W, El Paso, TX 79925-7929
MedPost Kids Urgent Care- 12371 Edgemere Blvd., El Paso, TX 79938
MedPost Urgent Care- 601 Sunland Park Dr., El Paso, TX 79912
MedPost Urgent Care- 9100 Viscount Blvd., El Paso, TX 79925
Mesa Hills Wound Care Center- 3030 Gateway Blvd. E, El Paso, TX 79905-1014
Priority Care Urgent Center- 3080 Joe Battle Blvd., El Paso, TX 79938-2653
Sierra Urgent Care Center- 11380 Gateway Blvd. N, El Paso, TX 79934-3380
Southwest Urgent Care Center- 2030 N Mesa St., El Paso, TX 79902-3310
Upper Valley Urgent Care Center- 121 E Redd Rd., El Paso, TX 79932-1981
(TX) Floyd
1.
Cogdell Clinic-Lockney- 320 N Main St, Lockney, TX 79241
(TX) Fort Bend
1. 7 Days Doctors Clinic- 7320 Highway 90a, Sugar Land, TX 77478-3391
2. Excel Urgent Care- 6840 Highway 6, Missouri City, TX 77459-3850
3. MedCure Minor Emergencies- 4114 Avenue H, Rosenberg, TX 77471-2833
4. MedSpring Urgent Care- 1403 Highway 6, Sugar Land, TX 77478-4929
5. MedSpring Urgent Care- 6501 S Fry Rd., Katy, TX 77494
6. MinuteClinic- 1410 Crabb River Road, Richmond, TX 77469
7. MinuteClinic- 16515 Lexington Boulevard, Sugar Land, TX 77479
8. Next Level Urgent Care- 10705 Spring Green Blvd., Katy, TX 77494
9. Next Level Urgent Care- 16902 Southwest Freeway, Sugar Land, TX 77479
10. Next Level Urgent Care- 7101 W Grand Parkway S, Richmond, TX 77407
11. Next Level Urgent Care- 8720 Highway 6, Missouri City, TX 77459
12. Night Light Pediatric Urgent Care- 15551 SouthweSt. Fwy., Sugar Land, TX 77478-3830
13. Oasis Urgent Care Center- 12221 S Kirkwood Rd., Meadows Place, TX 77477-3044
14. RediClinic- 19900 Hwy 59, Sugar Land, TX 77479
15. RediClinic- 25675 Nelson Way, Katy, TX 77494
16. RediClinic- 530 Hwy 6, Sugar Land, TX 77478
17. RediClinic- 6711 S Fry Rd, Katy, TX 77494
B | Appendix
18.
19.
20.
21.
22.
23.
24.
25.
26.
RediClinic- 8900 Hwy 6, Missouri City, TX 77459
Southwest Urgent Care- 19875 Southwest. Fwy., Sugar Land, TX 77479-3502
St Michael's 24 Hour Emergency- 16062 Southwest. Fwy., Sugar Land, TX 77479-2660
Stafford Occupational Health and Urgent Care- 3832 Greenbriar Dr., Stafford, TX 77477-3926
Stat Care- 4800 Sugar Grove Blvd., Stafford, TX 77477-2627
Texas Children’s Urgent Care- 9727 Spring Green Blvd. , Katy, TX 77494
Urgent Care- 11753 W Bellfort St., Stafford, TX 77477-1327
Urgent Care for Kids- 23730 Westheimer Pkwy., Katy, TX 77494
US Healthworks- 10521 Corporate Dr., Stafford, TX 77477-4003
(TX) Freestone
1. ETMC First Physicians Clnc- 734 W Commerce St., Fairfield, TX 75840-1428
(TX) Galveston
1. Calder Urgent Care- 1108 Gulf Fwy. S, League City, TX 77573-5101
2. Friendswood Urgent Care- 1305 W Parkwood Ave., Friendswood, TX 77546-5700
3. Healthcare Clinic at Walgreens- 3201 FM 528 Road, Friendswood, TX 77546-5416
4. Island Pediatric Urgent Care- 2027 61St. Street, Galveston, TX 77551
5. Pediatric After Hours Urgent Care- 3023 Marina Bay Dr., League City, TX 77573-2882
6. RediClinic- 2955 S Gulf Fwy, League City, TX 77573
7. St Elizabeth Family Practice & Urgent Care- 676 Fm 517 Rd. W, Dickinson, TX 77539-3904
8. Urgent Clinics Medical Care- 2560 E. League City Parkway, League City, TX 77573
9. Urgent Clinics Medical Care- 2660 Marina Bay Drive, League City, TX 77573
10. Urgent Clinics Medical Care- 4420 W. Main St., League City, TX 77573
11. West Isle Urgent Care- 2027 61st Street, Galveston, TX 77551
(TX) Grayson
1. One Medical- 913 Cottonwood Dr., Sherman, TX 75090-2831
2. Texoma Urgent Care- 3126 W Fm 120, Denison, TX 75020-1249
(TX) Gregg
1.
2.
3.
HealthCARE Express- 1509 W. Loop 281, Longview, TX 75604
Now Care- 2010 Bill Owens Pkwy., Longview, TX 75604-6210
Taylor Medical Center- 1761 Northwest Loop 281, Longview, TX 75604-2734
(TX) Guadalupe
1. Little Spurs Pediatric Urgent Care- 17323 Ih 35 N, Schertz, TX 78154-1278
2. MinuteClinic- 2693 FM 3009, Schertz, TX 78154
3. Resolute Health Family Urgent Care- 1347 E. Court St., Seguin, TX 78155
4. Texas MedClinic- 8341 Agora Pkwy., Selma, TX 78154-1316
5. Urgent Care & Occupational Health Centers of Texas- 1264 FM 78, Schertz, TX 78154
(TX) Harris
1.
2.
3.
4.
5.
6.
7.
8.
AFC Doctors Express Urgent Care- 107 Yale Street, Houston, TX 77007
AFC Doctors Express Urgent Care- 10850 Louetta Rd., Houston, TX 77070
AFC Doctors Express Urgent Care- 5568 Wesalayn St., Houston, TX 77005
AfterOurs Urgent Care- 7545 S Braeswood Blvd., Houston, TX 77071-1423
Bayside Urgent Care- 4001 Preston Ave., Pasadena, TX 77505-2051
Baytown Urgent Care- 2800 Garth Rd., Baytown, TX 77521-3947
Beamer Urgent Care- 10851 Scarsdale Blvd., Houston, TX 77089-5714
Ben Taub General Hospital Urgent Care Clinic- (6.68 mi away) 1504 Taub Loop, Houston, TX 770301608
B | Appendix
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
22.
23.
24.
25.
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33.
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36.
37.
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39.
40.
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42.
43.
44.
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48.
49.
50.
51.
52.
53.
54.
55.
56.
57.
58.
59.
60.
61.
Brazos Emergency Physicians- 10500 NorthweSt. Fwy., Houston, TX 77092-8224
Bretshire Medical Clinic- 7030 Bretshire Dr., Houston, TX 77016-3704
Care 4 Houston- 2300 Green Oak Dr., Kingwood, TX 77339-2038
Care 4 Houston- 9729 Fm 1960 Bypass Rd. W, Humble, TX 77338-4067
Concentra Urgent Care- 1000 N PoSt. Oak Rd, Houston, TX 77055
Concentra Urgent Care- 10909 EaSt. Freeway, Houston, TX 77029
Concentra Urgent Care- 12345 Katy Fwy, Houston, TX 77079
Concentra Urgent Care- 125 E 8th Street, Deer Park, TX 77536
Concentra Urgent Care- 2004 Leeland Street, Houston, TX 77003
Concentra Urgent Care- 401 Greens Rd, Houston, TX 77060
Concentra Urgent Care- 6360 W Sam Houston Pkwy. N, Houston, TX 77041
Concentra Urgent Care- 6545 SouthweSt. Freeway, Houston, TX 77074
Concentra Urgent Care- 8505 Gulf Fwy, Houston, TX 77017
Concentra Urgent Care- 8799 North Loop E, Houston, TX 77029
Concentra Urgent Care- 9321 Kirby Dr, Houston, TX 77054
Cyfair Emergency Clinic- 4542 Highway 6 N, Houston, TX 77084-3402
Cypress Fairbanks Urgent Care- 14044 Spring Cypress Rd., Cypress, TX 77429
Cypress Fairbanks Urgent Care- 9110 Barker Cypress Rd., Cypress, TX 77433-3048
Dairy Ashford Med Clinic-Urgent Care- 12303 Westheimer Rd., Houston, TX 77077-6059
Deer Park Family Clinic- 2910 Center St., Deer Park, TX 77536-4199
Doctor's Care Clinic- 8090 Westheimer Rd., Houston, TX 77063-2902
Doctors Clinic- 10961 NorthweSt. Fwy., Houston, TX 77092-7305
Doctors Clinic- 13259 EaSt. Fwy., Houston, TX 77015-5812
Doctors Clinic- 14755 North Fwy., Houston, TX 77090-6503
Doctors Clinic- 14770 Memorial Dr., Houston, TX 77079-5238
Doctors Clinic- 6535 SouthweSt. Fwy., Houston, TX 77074-2207
Doctors Clinic- 6969 Gulf Fwy., Houston, TX 77087-2599
Dr. D's Urgent Care- 9889 Bellaire Blvd., Houston, TX 77036-3463
East End Medical Clinic- 906 Wayside Dr., Houston, TX 77011-2518
East Houston Urgent Care- 11410 EaSt. Fwy., Houston, TX 77029-1986
El Centro Del Corazon- 7037 Capitol St., Houston, TX 77011-4643
Eldridge Urgent Care- 1398 Eldridge Pkwy., Houston, TX 77077-2548
Elitecare 24 Hours Emergency Center- 2500 Rice Blvd., Houston, TX 77005-3221
Emergi Care- 2409 Falcon Pass, Houston, TX 77062-6276
Emerus ER- 24727 Tomball Pkwy., Tomball, TX 77375-7877
enTrust Immediate Care- 9778 Katy Fwy., Houston, TX 77055-6245
ER 24-7 Plus- 9180 Katy Fwy., Houston, TX 77055-7461
Excel Urgent Care- 19450 Hwy. 10, Katy, TX 77450
Excel Urgent Care- 25801 Highway 290, Cypress, TX 77429-1049
Excel Urgent Care Katy- 19450 Katy Fwy, Houston, TX 77094-1489
Family Clinic- 3402 Highway 6 S, Houston, TX 77082-4207
Family Plus Urgent Care- 15881 Fm 529 Rd., Houston, TX 77095-2577
Five Star Urgent Care- 5749 San Felipe St., Houston, TX 77057-3101
Gulf Coast Urgent Care- 9100 SouthweSt. Fwy., Houston, TX 77074-1584
Hardy Street Medical Clinic- 2103 Hardy St., Houston, TX 77026-6715
Healthcare Clinic at Walgreens- 1215 W 43Rd. Street, Houston, TX 77018
Healthcare Clinic at Walgreens- 16185 Space Center Blvd., Houston, TX 77062
Healthcare Clinic at Walgreens- 16211 Spring Cypress Rd, Cypress, TX 77429
Healthcare Clinic at Walgreens- 1919 W Gray St, Houston, TX 77019
Healthcare Clinic at Walgreens- 19710 Holzwarth Rd, Spring, TX 77388
Healthcare Clinic at Walgreens- 2026 McDuffie St., Houston, TX 77019-6134
Healthcare Clinic at Walgreens- 2808 Gessner Drive, Houston, TX 77080
Healthcare Clinic at Walgreens- 3201 FM 528 Road, Friendswood, TX 77546-5416
B | Appendix
62. Healthcare Clinic at Walgreens- 3300 Center St, Deer Park, TX 77536
63. Healthcare Clinic at Walgreens- 5200 Westheimer Rd, Houston, TX 77056
64. Healthcare Clinic at Walgreens- 6768 Highway 6 S, Houston, TX 77083
65. Healthcare Clinic at Walgreens- 7440 FM 1960 Rd. E, Humble, TX 77346
66. HealthOne Fairmont Emergency Center- 6002 Fairmont Pkwy., Pasadena, TX 77505-4041
67. Home Medical & Urgent Care- 8300 Bissonnet St., Houston, TX 77074-3900
68. Houston Urgent Care & Family- 13192 Bellaire Blvd., Houston, TX 77072-5102
69. Houston Urgent Care & Family- 13977 Westheimer Rd., Houston, TX 77077-5386
70. Immediate Medical Care- 1202 Nasa Pkwy., Houston, TX 77058-3304
71. Immediate Medical Care- 6825 Spencer Hwy., Pasadena, TX 77505-1770
72. KATY Urgent Care Center- 21700 Kingsland Blvd., Katy, TX 77450-2546
73. Kingwood Urgent Care- 2601 W Lake Houston Pkwy., Kingwood, TX 77339-5222
74. Little Spurs Pediatric Urgent Care- 11097 B Northwest Freeway, Houston, TX 77092
75. Little York Medical Center- 2708 Little York Rd., Houston, TX 77093-3404
76. Long Point Medical Clinic- 8153 Long Point Rd., Houston, TX 77055-2032
77. Med-Cure- 4040 Broadway St., Houston, TX 77087-4700
78. MedCure Minor Emergencies- 11226 SouthweSt. Fwy., Houston, TX 77031-3604
79. MedCure Minor Emergencies- 7048 Bissonnet St., Houston, TX 77074-6010
80. MedCure Minor Emergencies- 96 Berry Rd., Houston, TX 77022-3057
81. Med-Cure Primary Care Physicians- 12600 Bissonnet St., Houston, TX 77099-1395
82. Medinet Family Care Clinic: Urgent Care- 9130 Highway 6 South, Houston, TX 77083-6376
83. MedSpring Urgent Care- 14045 Memorial Dr., Houston, TX 77079-6826
84. MedSpring Urgent Care- 1450 Kingwood Dr., Kingwood, TX 77339-3040
85. MedSpring Urgent Care- 1917 W Gray St., Houston, TX 77019-4801
86. Medstop Clinics- 10375 Northwest. Fwy., Houston, TX 77092-8200
87. Medstop Clinics- 7602 Bellfort St., Houston, TX 77061-1704
88. Methodist Emergency Care Center- 2615 Southwest. Fwy., Houston, TX 77098-4609
89. MinuteClinic- 1003 Richmond Ave., Houston, TX 77066
90. MinuteClinic- 15010 Memorial Dr, Houston, TX 77079
91. MinuteClinic- 24048 Kuykendahl Rd, Tomball, TX 77375
92. MinuteClinic- 2469 Bay Area Boulevard, Houston, TX 77058
93. MinuteClinic- 24802 Aldine Westfield Rd, Spring, TX 77373
94. MinuteClinic- 26265 Northwest Freeway, Cypress, TX 77433
95. MinuteClinic- 2800 Bayport Boulevard, Seabrook, TX 77586
96. MinuteClinic- 3103 N Fry Rd, Katy, TX 77449-6218
97. MinuteClinic- 3505 Center Street, Deer Park, TX 77536
98. MinuteClinic- 5402 Westheimer Road,, Houston, TX 77056-5310
99. MinuteClinic- 5603 FM 1960 RD W, Houston, TX 77069
100. MinuteClinic- 8000 N Sam Houston Pkwy E, Humble, TX 77396-2900
101. MinuteClinic- 8754 Spring Cypress Rd, Spring, TX 77379-3135
102. Next Level Urgent Care- 15882 Champion Forest Drive, Spring, TX 77379
103. Next Level Urgent Care- 2323 Clear Lake City Blvd., Houston, TX 77062
104. Next Level Urgent Care- 4936 Beechnut Street, Houston, TX 77096
105. Next Level Urgent Care- 5535 Memorial Drive, Houston, TX 77007
106. Next Level Urgent Care- 8100 Highway 6 North, Houston, TX 77095-1900
107. NextCare Urgent Care- 10906 Fm 1960 Rd. W, Houston, TX 77070-6316
108. NextCare Urgent Care- 1331 Northpark Dr., Kingwood, TX 77339-1636
109. NightLight Pediatric Urgent Care- 19708 NorthweSt. Fwy., Jersey Village, TX 77065-5626
110. Northeast Family Urgent Care- 7120 Fm 1960 Rd. E, Humble, TX 77346-2702
111. Northeast Family Urgent Care- 9729 Fm 1960 Bypass Rd. W, Humble, TX 77338-4067
112. Northeast Urgent Care- 11501 N Sam Houston Pkwy. E, Humble, TX 77396-4635
113. Northwest Urgent Care- 13325 HargrAve. Rd., Houston, TX 77070-4540
114. Northwest Urgent Care- 7575 Bellaire Blvd., Houston, TX 77036-5019
B | Appendix
115. Nova Medical Centers – Beltway- 6630 Roxburgh Dr., Houston, TX 77041-5217
116. Nova Medical Centers - East Houston- 12741 EaSt. Fwy., Houston, TX 77015-5605
117. Nova Medical Centers – Humble- 262 Fm 1960 East, Humble, TX 77338
118. Nova Medical Centers - Post Oak- 1214 N PoSt. Oak Rd., Houston, TX 77055-7271
119. Nova Medical Centers - South Location- 12885 Gulf Fwy., Houston, TX 77034-4807
120. Nova Medical Centers – Southwest- 9940 W Sam Houston Pkwy. S, Houston, TX 77099-5104
121. Nova Medical Centers- 6213 Skyline Dr., Houston, TX 77057-7037
122. Optum Clinic Urgent Care- 13410 Briar Forest Dr., Houston, TX 77077
123. Optum Clinic Urgent Care- 1507 W. Bay Area Blvd., Webster, TX 77598
124. Optum Clinic Urgent Care- 5749 San Felipe St., Houston, TX 77057
125. Optum Clinic Urgent Care- 7077 Highway 6 North, Houston, TX 77095
126. Physicians Diversified Group, P.A.- 4810 North Pine Brookway, Houston, TX 77059
127. Primary Urgent Care- 2802 Garth Rd., Baytown, TX 77521-3924
128. RediClinic- 10919 Louetta Rd, Houston, TX 77070
129. RediClinic- 1701 W Alabama St, Houston, TX 77098
130. RediClinic- 24224 NW Fwy, Cypress, TX 77429
131. RediClinic- 2660 Fountainview, Houston, TX 77057
132. RediClinic- 28520 Tomball Pkwy, Tomball, TX 77375
133. RediClinic- 4303 Kingwood Dr, Houston, TX 77339
134. RediClinic- 6210 Fairmont Pkwy, Pasadena, TX 77505
135. RediClinic- 6711 S Fry Rd, Katy, TX 77494
136. RediClinic- 7405 FM 1960 E, Humble, TX 77346
137. RediClinic- 9710 Katy Fwy, Houston, TX 77055
138. Sharpstown Medical Clinic- 7111 Harwin Dr., Houston, TX 77036-2129
139. Southmore Family Center- 908 Southmore Ave., Pasadena, TX 77502-1100
140. St. Luke's Community Emergency Center- 2727 W Holcombe Blvd., Houston, TX 77025-1669
141. Stat Care- 18405 State Highway 249, Houston, TX 77070-4272
142. Tejas Urgent Care Clinic- 415 W Little York Rd., Houston, TX 77076-1350
143. Total Medical & Urgent Care- 15410 Ridge Park Dr., Houston, TX 77095-3324
144. Urgent Care & Family Clinic- 12835 Westheimer Rd., Houston, TX 77077-5724
145. Urgent Care for Kids- 23730 Westheimer Pkwy., Katy, TX 77494
146. Urgent Care for Kids- 5215 Kirby Dr., Houston, TX 77098
147. Urgent Care Houston- 1826 Wirt Rd., Houston, TX 77055-2400
148. Urgent Care MDs- 1658 W Baker Rd., Baytown, TX 77521-2283
149. Urgent Clinics Medical Care- 6930 FM 1960, Houston, TX 77069
150. Urgent Clinics Medical Care- 8498 Sam Houston Parkway, Houston, TX 77075
151. Urgent Doc- 9668 Westheimer, Houston, TX 77063
152. US Healthworks- 1309 W Fairmont Pkwy., La Porte, TX 77571-6124
153. US Healthworks- 1414 S Loop W, Houston, TX 77054-3826
154. US Healthworks- 16630 Imperial Valley Dr., Houston, TX 77060-3410
155. US Healthworks- 17410 Northwest Fwy., Jersey Village, TX 77040-1002
156. US Healthworks- 9200 Hempstead Rd., Houston, TX 77008-6026
157. West Oaks Urgent Care Center- 2150 Hwy 6 South, Houston, TX 77077
(TX) Harrison
1. HealthCARE Express- 711 E End Blvd. S, Marshall, TX 75670-5615
(TX) Hays
1.
2.
3.
MedSpring Urgent Care- 301 N. Guadalupe St., San Marcos, TX 78666
RediClinic- 5401 South FM 1626, Kyle, TX 78640
Texan Urgent Care- 135 Bunton Creek Rd., Kyle, TX 78640-5756
(TX) Hidalgo
B | Appendix
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
(TX) Hunt
1.
Ashley Pediatrics Day and Night Clinic- 1001 S 10th St., McAllen, TX 78501-5045
Ashley Pediatrics Day and Night Clinic- 1315 W Main Ave., Alton, TX 78573-1643
Ashley Pediatrics Day and Night Clinic- 2029 E Griffin Pkwy., Mission, TX 78572-3222
Ashley Pediatrics Day and Night Clinic- 5003 S Alamo Rd., Edinburg, TX 78542-8959
Ashley Pediatrics Day and Night Clinic- 514 S Closner Blvd., Edinburg, TX 78539-4660
Ashley Pediatrics Day and Night Clinic- 6201 S Cage Blvd., Pharr, TX 78577-5609
Ashley Pediatrics Day and Night Clinic- 801 E Nolana St., McAllen, TX 78504-6104
Family Medical Day & Night- 1002 W Sam Houston St., Pharr, TX 78577-5198
Family Physicians Clinic and Valley Night Clinic- 606 S Broadway St., McAllen, TX 78501-4906
McAllen Family Urgent Care- 110 E Savannah Ave. Bldg. A204, McAllen, TX 78503-1239
Rockwall Urgent Care- 3505 Shelby Ave., Greenville, TX 75402-6257
(TX) Jackson
1. Jackson Medical Clinic- 1013A S Wells St., Edna, TX 77957-4045
(TX) Jasper
1.
2.
Stat Care- 2418 N Wheeler St., Jasper, TX 75951-2115
Urgent Care of NFC- 1250 Marvin Hancock Dr., Jasper, TX 75951-4934
(TX) Jefferson
1. AFC Doctors Express Urgent Care- 3195 Dowlen, Beaumont, TX 77706
2. Christus Minor Care- 8445 Memorial Blvd., Port Arthur, TX 77640-7003
3. Medical Plus- 6622 Phelan Blvd., Beaumont, TX 77706-5977
4. MinuteClinic- 2712 State Highway 365, Nederland, TX 77627-4110
5. MinuteClinic- 2950 Dowlen Road, Beaumont, TX 77706
6. Stat Care- PO Box 552, Beaumont, TX 77704-0552
(TX) Johnson
1. Burleson Family Medical Center- 434 SW Wilshire Blvd., Burleson, TX 76028-5330
2. CareNow- 1501 SW Wilshire Blvd., Burleson, TX 76028-8715
3. Concentra Urgent Care- 811 NE Alsbury Blvd., Burleson, TX 76028
(TX) Kaufman
1. Care United Medical Center- 426 Old FM 548, Forney, TX 75126
2. MinuteClinic- 775 E. Us Hwy 80, Forney, TX 75126
(TX) Kendall
1. Boerne Acute Care Center- 1421 S Main St., Boerne, TX 78006-3322
2. HealthTexas Medical Group - Hill Country Clinic- 105 Falls Ct., Boerne, TX 78006-2986
3. Urgent Care & Occupational Health Centers of Texas- 1201 S Main St., Boerne, TX 78006-2839
(TX) Kerr
1.
2.
(TX) Lamar
1.
Franklin Clinic Family Practice Urgent Care- 723 Hill Country Dr., Kerrville, TX 78028-6043
Peterson Minor Care Center- 1740 Junction Hwy., Kerrville, TX 78028-9401
Salas Minor Emergency Center- 1655 NE Loop 286, Paris, TX 75460-2219
(TX) Limestone
1. TriCounty Pediatrics- 703 E Main St., Mexia, TX 76667-3349
B | Appendix
(TX) Llano
1.
Hoerster Clinic- 102 E Young St., Llano, TX 78643-1349
(TX) Lubbock
1. Concentra Urgent Care- 6048 Marsha Sharp Fwy, Lubbock, TX 79407
2. Covenant HealthPlus- 7601 Quaker Ave., Lubbock, TX 79424-3360
3. Covenant Medical Group Urgent Care Center- 1910 Quaker Avenue, Lubbock, TX 79407
4. Covenant Medical Group Urgent Care Center- 9812 Slide Rd., Lubbock, TX 79424-5781
5. KingsPark Urgent Care- 7501 Quaker Ave., Lubbock, TX 79424-3367
6. Lakeridge Primary Health Center- 5130 82nd St., Lubbock, TX 79424-3024
7. Lubbock Minor Emergency Center- 5015 University Ave., Lubbock, TX 79413-4426
8. UMC Physician Network Family Medicine Urgent Care- 7301 Milwaukee Ave., Lubbock, TX 79424
(TX) Maverick
1. South Texas Urgent Care Center- 2824 N Veterans Blvd., Eagle Pass, TX 78852-6695
(TX) Mcculloch
None
(TX) McLennan
1. Central Texas Urgent Care- 1135 N Loop 340, Waco, TX 76705-2486
2. Central Texas Urgent Care- 1201 Hewitt Dr., Waco, TX 76712-8834
3. Concentra Urgent Care- 4205 Franklin Ave, Waco, TX 76710
4. Express Care Center At Hillcrest- 3000 Herring Ave., Waco, TX 76708-3239
5. Texan Urgent Care- 5400 Crosslake Pkwy., Waco, TX 76712-6977
(TX) Medina
1. Little Alsace Urgent Care Center- 1501 Houston St., Castroville, TX 78009-2739
(TX) Midland
1. Emergy Clinic- 1816 N Midland Dr., Midland, TX 79707-6407
2. First Med of Midland Urgent Care- 3401 Greenbriar, Midland, TX 79707-4653
3. Midland Walk-In Clinic- 3402 N Big Spring St., Midland, TX 79705-5503
(TX) Montgomery
1. Conroe Urgent Care Clinic- 2129 W Davis St., Conroe, TX 77304-1942
2. Davam Urgent Care- 6022 FM 1488, The Woodlands, TX 77354
3. Healthcare Clinic at Walgreens- 24917 FM 1314 Rd, Porter, TX 77365
4. Healthcare Clinic at Walgreens- 8000 Research Forest. Dr, The Woodlands, TX 77382
5. MinuteClinic- 25110 Grogans Mill Rd, Spring, TX 77380-2248
6. MinuteClinic- 3705 FM Road 1488, The Woodlands, TX 77384
7. Nexcare- 18057 Highway 105 W, Montgomery, TX 77356-5985
8. Nova Medical Centers – Conroe- 3500 W Davis St., Conroe, TX 77304-1811
9. Oaks Minor Emergency Center- 25410 Interstate 45, Spring, TX 77386-1300
10. RediClinic- 10777 Kuykendahl Rd, The Woodlands, TX 77382
11. RediClinic- 130 Sawdust Rd, Spring, TX 77380
12. RediClinic- 3601 FM 1488, The Woodlands, TX 77384
13. Urgent Care- 26222 Interstate 45, Spring, TX 77386-1024
14. Urgent Care for Kids- 1640 Lake Woodlands Dr., The Woodlands, TX 77380
15. Urgent Clinics Medical Care- 3600 FM 1488, Conroe, TX 77384
B | Appendix
(TX) Nacogdoches
1. Urgent Doc- 4909 North St., Nacogdoches, TX 75965-1800
(TX) Nueces
1. Bay Area Quick Care- 9929 S Padre Island Dr., Corpus Christi, TX 78418-5164
2. Bayside Medical Center- 3817 S Padre Island Dr., Corpus Christi, TX 78415-2913
3. Calallen Minor Emergency Center (Doctor's Center Affiliate)- 11559 LeopaRd. St., Corpus Christi, TX
78410-3415
4. Concentra Urgent Care- 4025 S Padre Island Dr, Corpus Christi, TX 78411
5. Doctors Center- 4637 S Padre Island Dr., Corpus Christi, TX 78411-4413
6. Doctors Center South- 5536 Saratoga Blvd., Corpus Christi, TX 78413-2944
7. Driscoll Children's Urgent- 75 mi away) 5945 Saratoga Blvd., Corpus Christi, TX 78414-4225
8. Family Health Clinic & Minor Emergency Room- 10102 South Padre Island Drive, Corpus Christi, TX
78418
9. Pronto Med (Urgent Care Clinic)- 3434 Saratoga Blvd., Corpus Christi, TX 78415-5822
(TX) Orange
1.
2.
3.
4.
5.
6.
(TX) Parker
1.
2.
3.
4.
AFC Doctors Express Urgent Care- 3195 Dowlen, Beaumont, TX 77706
Christus Minor Care- 8445 Memorial Blvd., Port Arthur, TX 77640-7003
Medical Plus- 6622 Phelan Blvd., Beaumont, TX 77706-5977
MinuteClinic- 2712 State Highway 365, Nederland, TX 77627-4110
MinuteClinic- 2950 Dowlen Road, Beaumont, TX 77706
Stat Care- PO Box 552, Beaumont, TX 77704-0552
Lone Star Express Care- 5700 E Interstate 20 Service Rd. S, Willow Park, TX 76008-5115
Oakridge Urgent Care- 200 S Oakridge Dr., Hudson Oaks, TX 76087-1794
Parker County Urgent Care Center- 116 E Interstate 20, Weatherford, TX 76087-8535
Tri Cities Urgent Care- 123 S Ranch House Rd., Willow Park, TX 76008-2649
(TX) Polk
1.
(TX) Potter
1.
2.
3.
4.
5.
6.
7.
8.
Urgent Doc- 1615 West Church St, Livingston, TX 77351
Amarillo Urgent Care- 1915 S Coulter St., Amarillo, TX 79106-3706
BSA Urgent Care Center- 4510 Bell St., Amarillo, TX 79109-5714
Care Today Clinic- 3440 Bell St., Amarillo, TX 79109-4100
Care Xpress- 2701 S Georgia St., Amarillo, TX 79109-1979
Care Xpress- 7306 SW 34th Ave., Amarillo, TX 79121-1446
Care Xpress Living Well- 5807 SW 45th Ave., Amarillo, TX 79109-5291
Concentra Urgent Care- 1619 S Kentucky Street, Amarillo, TX 79102
Immediate Care Clinic- 1500 S Coulter St., Amarillo, TX 79106-1791
(TX) Randall
1. Immediate Care Clinic- 911 23Rd. St., Canyon, TX 79015-4645
(TX) Rockwall
1. Care United Medical Center- 2344 Greencrest Blvd., Rockwall, TX 75087-5513
2. Care United Medical Center- 426 Old FM 548, Forney, TX 75126
3. Lake Pointe Urgent Care Center- 1005 W Ralph Hall Pkwy., Rockwall, TX 75032-6697
4. MedPost Urgent Care- 2951 Ridge Road, Rockwall, TX 75032
5. MedPost Urgent Care- 3090 N. Goliad Street , Rockwall, TX 75087
6. MinuteClinic- 2004 N Goliad St, Rockwall, TX 75087-7317
7. Rockwall Urgent Care- 810 E Ralph Hall Pkwy., Rockwall, TX 75032-6879
B | Appendix
(TX) Shelby
1. The Hope Project Tenaha Clinic- 157 Wall St., Tenaha, TX 75974-5413
(TX) Smith
1.
2.
3.
4.
East Texas Medical Center- 6210 S Broadway Ave., Tyler, TX 75703-4413
Etmc First Physicians tramic services- 1020 E Idel St., Tyler, TX 75701-2024
Trinity Clinic- 3203 S Main St., Lindale, TX 75771-7727
Tyler Urgent Care- 1809 Capital Dr., Tyler, TX 75701-8438
(TX) Tarrant
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
22.
23.
24.
25.
26.
27.
28.
29.
30.
31.
32.
33.
34.
35.
36.
37.
38.
39.
40.
41.
AccuTrace Testing, Inc.- 5612 SW Green Oaks Blvd., Arlington, TX 76017-1154
AFC Doctors Express Urgent Care- 2315 E. Southlake Blvd., Southlake, TX 76092
Arlington Minor Emergency Clinic- 912 E Park Row Dr., Arlington, TX 76010-4507
Arlington Urgent Care- 3295 S Cooper St., Arlington, TX 76015-2359
Bumps N' Bruises Pediatric Urgent Care- 2251 Matlock Rd., Mansfield, TX 76063
CareNow- 1661 Eastchase Pkwy., Fort Worth, TX 76120-4407
CareNow- 3520 NW Centre Dr., Fort Worth, TX 76135-3612
CareNow- 400 Mid Cities Blvd., Hurst, TX 76054-2430
CareNow- 5301 William D Tate Ave., Grapevine, TX 76051-7357
CareNow- 5405 S Cooper St., Arlington, TX 76017-6148
CareNow- 720 S Main St., Keller, TX 76248-4936
CareNow- 7232 North Fwy., Fort Worth, TX 76137-2481
CareNow- 7232 North Fwy., Fort Worth, TX 76137-2481
CareNow- 7400 McCart Ave., Fort Worth, TX 76137-2481
CityDoc- 2891 Matlock Rd., Mansfield, TX 76063-5034
Coming Soon - Walk-In ER- 4501 Western Center Blvd., Fort Worth, TX 76137-2628
Concentra Urgent Care- 2160 E. Lamar Blvd., Arlington, TX 76006
Concentra Urgent Care- 2500 West. Freeway (I30), Fort Worth, TX 76102
Concentra Urgent Care- 4060 Sandshell Dr, Fort Worth, TX 76137
Concentra Urgent Care- 511 E. I-20, Arlington, TX 76018
Cook Children’s Urgent Care- 2727 E Southlake Blvd., Southlake, TX 76092-6613
Cooper Street Medical Clinic- 2360 F.M. 157, Mansfield, TX 76063
Diamond Hill Medical Center- 2223 NE 28th St., Fort Worth, TX 76106-7418
EMC ExpressCare- 8245 PrecinCt. Line Rd., North Richland Hills, TX 76182-8674
Expedian Care - Urgent Care Center- 980 N Walnut Creek Dr, Mansfield, TX 76063-8020
Express Care Family Practice and Urgent Care- 100 W Pioneer Pkwy., Arlington, TX 76010-6111
Family Health Care- 4301 Brown Trl., Colleyville, TX 76034-3949
Family Health Care Associates- 1926 SW Green Oaks Blvd., Arlington, TX 76017-2735
Grand Prairie Urgent Care- 5204 S Hwy. 360, Grand Prairie, TX 75052-0947
Healthcare Clinic at Walgreens- 4400 W Green Oaks Blvd., Arlington, TX 76016-5608
JPS Urgent Care Center- 1500 S Main St., Fort Worth, TX 76104-4917
Kclinic Urgent Care- 1533 California Pkwy. S, Fort Worth, TX 76134-1100
Lake Worth Minor Emergency- 6302 Lake Worth Blvd., Fort Worth, TX 76135-3607
Mansfield Urgent Care- 1811 Highway 287 N, Mansfield, TX 76063-7595
MinuteClinic- 1301 N Saginaw Blvd, Saginaw, TX 76179-5095
MinuteClinic- 2200 Matlock Road, Mansfield, TX 76063
MinuteClinic- 3701 Ira E Woods Ave, Grapevine, TX 76051-4213
MinuteClinic- 460 Northwest Pkwy, Azle, TX 76020-3136
MinuteClinic- 5900 W. Pleasant Ridge Rd., Arlington, TX 76016
MinuteClinic- 6000 Bryant Irvin Rd, Fort Worth, TX 76132
MinuteClinic- 6401 Precinct Line Rd, North Richland Hills, TX 76182-4815
B | Appendix
42.
43.
44.
45.
46.
47.
48.
49.
50.
51.
52.
53.
54.
55.
56.
57.
(TX) Taylor
1.
2.
(TX) Titus
1.
MinuteClinic- 801 North Tarrant Pkwy, Keller, TX 76248-6860
MinuteClinic- 825 S. Crowley Road, Crowley, TX 76036
Northeast Urgent Care- 6316 Precinct. Line Rd., Hurst, TX 76054-2766
Nova Medical Centers - Fort Worth North- 3645 N. Beach St., Fort Worth, TX 76137-3242
Park Row Urgent Care- 801 W Park Row Dr., Arlington, TX 76013-3904
Pediatric Urgent Care Center of Fort Worth- 3000 South Hulen Street, Fort Worth, TX 76109
Pediatric Urgent Care Center of Fort Worth- 3400 Texas Sage Trl., Fort Worth, TX 76177-8603
PrimaCare Medical Center- 6000 Colleyville Blvd., Colleyville, TX 76034-8024
Rockwood Medical Clinic- 1217 Grand Ave., Fort Worth, TX 76164-9041
T & R Clinic- 2919 Markum Dr., Haltom City, TX 76117-4004
The Neighborhood Doctor- 1001 NE Green Oaks Blvd., Arlington, TX 76006-2317
The Neighborhood Doctor- 5201 S Cooper St., Arlington, TX 76017-5964
Total Care Urgent Care- 1005 S Crowley Rd., Crowley, TX 76036-3698
Total Care Urgent Care- 6049 S Hulen St., Fort Worth, TX 76132-4815
Urgent Care for Kids- 5611 Colleyville Blvd., Colleyville, TX 76034
Urgent Care for Kids- 940 Keller Parkway, Keller, TX 76248
Abeline Minor Care- 3101 S 27th St., Abilene, TX 79605-6296
Affordacare walk in clinic- 4009 Ridgemont Dr., Abilene, TX 79606-2733
Titus Regional Medical Center Family Care Center- 1618 Jefferson Avenue, Mount Pleasant, TX 75455
(TX) Tom Green
1. Shannon Clinic Urgent Care- 120 E Beauregard Ave., San Angelo, TX 76903-5919
2. Shannon Clinic Urgent Care- 2626 N. Bryant, San Angelo, TX 76903
3. Shannon Clinic Urgent Care- 3502 Knickerbocker Rd., San Angelo, TX 76904
4. Shannon Clinic Urgent Care- 4251 Sunset Dr., San Angelo, TX 76904
(TX) Travis
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
22.
23.
After Hours Kids- 1500 W 38th St., Austin, TX 78731-6321
ARC Urgent Care- 6835 Austin Center Blvd., Austin, TX 78731-3166
ARC Urgent Care Southwest- 1807 W Slaughter Ln., Austin, TX 78748-6208
Austin Immediate Care- 5000 W Slaughter Ln., Austin, TX 78749-3997
Bee Caves Medical- 2303 RR 620, Lakeway, TX 78734
Bee Caves Medical- 6836 Bee CAve. Rd., Austin, TX 78746-5059
Bee Caves Urgent Care- 11614 Fm 2244, Austin, TX 78738-5551
CareSpot- 401 W Slaughter Ln , Austin, TX 78748
CareSpot- 500 W Canyon Ridge Dr, Austin, TX 78753
Concentra Urgent Care- 10001 South IH-35, Austin, TX 78747
Concentra Urgent Care- 4301 W. William Cannon, Austin, TX 78749
Concentra Urgent Care- 9333 Research Blvd., Austin, TX 78759
ExpressMD Urgent Care- 1616 Fm 685, Pflugerville, TX 78660-7537
Little Spurs Pediatric Urgent Care- 2113 Wells Branch Parkway, Austin, TX 78728
MedSpring Urgent Care- 11521 Ranch Road 620, North Austin, TX 78726
MedSpring Urgent Care- 208 W Ben White Blvd., Austin, TX 78704-7126
MedSpring Urgent Care- 2120 Guadalupe St., Austin, TX 78705-5516
MedSpring Urgent Care- 3906 N Lamar Blvd., Austin, TX 78756-4000
MedSpring Urgent Care- 517 S. Lamar Blvd., Austin, TX 78704
MinuteClinic- 11300 N Lamar Blvd, Austin, TX 78753-2665
MinuteClinic- 11725 N Fm 620, Austin, TX 78750-1348
MinuteClinic- 2306 Ranch Road 620 S, Lakeway, TX 78734-6269
MinuteClinic- 2610 Lake Austin Blvd, Austin, TX 78703-4453
B | Appendix
24.
25.
26.
27.
28.
29.
30.
31.
32.
33.
34.
35.
36.
37.
38.
39.
MinuteClinic- 3500 W Slaughter Ln, Austin, TX 78749-4421
MinuteClinic- 5526 S Congress Ave, Austin, TX 78745
NextCare Urgent Care- 12701 Ranch Road 620 N, Austin, TX 78750-1141
NextCare Urgent Care- 6001 W William Cannon Dr., Austin, TX 78749-1973
Pro Med Care Center- 13831 N US Hwy. 183, Austin, TX 78750-1202
Pro Med Care Center- 2000 W Anderson Ln., Austin, TX 78757-1220
Pro Med Care Center- 3801 S Lamar Blvd., Austin, TX 78704-7943
Red River Walk-In Care- 1215 Red River St., Austin, TX 78701-1921
RediClinic- 11521 N FM 620, Austin, TX 78726
RediClinic- 500 Canyon Ridge Dr, Austin, TX 78753
RediClinic- 6900 Brodie Lane, Austin, TX 78745
St David's Urgent Care South- 5700 W Slaughter Ln., Austin, TX 78749-6520
St. David's Urgent Care Pflugerville- 1615 Grand Avenue Pkwy., Pflugerville, TX 78660-2060
Texas MedClinic- 12319 N Mo-Pac Expressway, Austin, TX 78758
Texas MedClinic- 9900 S Ih 35, Austin, TX 78748-3885
Texas Urgent Care- PO Box 162586, Austin, TX 78716-2586
(TX) Trinity
1. Groveton Family Medical Clinic- 110 Magee, Groveton, TX 75845-4185
(TX) Uvalde
1. South Texas Urgent Care Center- 3040 E Main St., Uvalde, TX 78801-6432
2. South Texas Urgent Care Center- 545 Ham Ln., Uvalde, TX 78801-6271
(TX) Victoria
1. Gonzaba Medical Group- 1423 Guadalupe St., Victoria, TX 77905
2. Twin Fountains Urgent Care Center- 108 Twin Fountains Dr., Victoria, TX 77904
(TX) Walker
1. HMH Medical Clinic- 110 Memorial Hospital Drive, Huntsville, TN 77340
(TX) Wichita
1. Clinics of North Texas- 501 Western prkw east, Wichita Falls, TX 76302-2921
(TX) Williamson
1. Austin Regional Clinic After Hours- 940 Hesters Crossing Rd., Round Rock, TX 78681-8018
2. CareSpot- 3750 Gattis School Rd, Round Rock, TX 78664
3. CareSpot- 7401 O'Connor Dr, Round Rock, TX 78681
4. CareSpot- 905 East Whitestone Boulevard, Cedar Park, TX 78613
5. Concentra Urgent Care- 117-B Louis Henna Blvd., Round Rock, TX 78664
6. MedSpring Urgent Care- 1335 E Whitestone Blvd., Cedar Park, TX 78613-7598
7. MedSpring Urgent Care- 1820 Gattis School Rd., Round Rock, TX 78664-9777
8. MinuteClinic- 1855 Gattis School Rd, Round Rock, TX 78664-7428
9. MinuteClinic- 4426 Williams Dr, Georgetown, TX 78628-1341
10. MinuteClinic- 501 University Blvd, Round Rock, TX 78665
11. NextCare Urgent Care- 1240 E Palm Valley Blvd., Round Rock, TX 78664-3202
12. NextCare Urgent Care- 900 N Austin Ave., Georgetown, TX 78626-4349
13. RediClinic- 1700 E Palm Valley Blvd, Round Rock, TX 78664
14. RediClinic- 651 N US Hwy 183, Leander, TX 78641
15. Scott and White Urgent Care- 2000 S Ih 35, Round Rock, TX 78681-6921
16. Texas Hills Urgent Care Centers- 351 Cypress Creek Rd. 103, Cedar Park, TX 78613-4528
17. Texas MedClinic- 4851 North IH 35 , Round Rock, TX 78664
18. Urgent & Family Care At Avery- 10625 W Parmer Ln., Austin, TX 78717-4016
B | Appendix
19. Urgent Care for Kids- 1525 Cypress Creek Road, Cedar Park, TX 78613
20. Urgent Care for Kids- 16560 N. RM. 620 Road, Round Rock, TX 78681
(TX) Wood
1.
Trinity Clinic-Quitman- 117 N Winnsboro St., Quitman, TX 75783-2144
The following 149 counties did not contain any Urgent Care/ Walk-In Clinics:
Anderson
Coryell
Haskell
Matagorda
Scurry
Andrews
Crane
Hemphill
Mcculloch
Somervell
Archer
Crosby
Henderson
Milam
Starr
Atascosa
Culberson
Hill
Mitchell
Stephens
Bailey
Dawson
Hockley
Montague
Stonewall
Bandera
Deaf Smith
Hood
Moore
Sutton
Baylor
Dewitt
Hopkins
Navarro
Swisher
Bee
Dickens
Houston
Newton
Terry
Blanco
Dimmit
Howard
Nolan
Throckmorton
Bosque
Donley
Hutchinson
Ochiltree
Tyler
Brewster
Eastland
Jack
Oldham
Upshur
Briscoe
Ellis
Jackson
Palo Pinto
Upton
Brown
Erath
Jeff Davis
Panola
Val Verde
Burleson
Falls
Jim Wells
Parmer
Van Zandt
Burnet
Fannin
Jones
Pecos
Waller
Caldwell
Fayette
Karnes
Presidio
Ward
Calhoun
Fisher
Kimble
Rains
Washington
Callahan
Franklin
Kleberg
Reagan
Webb
Camp
Freestone
Knox
Red River
Wharton
Castro
Frio
La Salle
Reeves
Wichita
Chambers
Gaines
Lamb
Refugio
Wilbarger
Cherokee
Gillespie
Lampasas
Roberson
Willacy
Childress
Gonzales
Lavaca
Runnels
Wilson
Clay
Gray
Lee
Rusk
Winkler
Coke
Hale
Leon
Sabine
Wise
Coleman
Hamilton
Liberty
San Augustine
Yoakum
Collingsworth
Hansford
Lynn
San Jacinto
Young
Colorado
Hardeman
Madison
San Patricio
Xapata
Comanche
Hardin
Marion
San Saba
Zavala
Cooke
Hartley
Martin
Scheicher
Source: Urgent Care Locations, LLC - http://www.urgentcarelocations.com, 2014
B | Appendix
HOSPITALS IN TEXAS
Name of Hospital
Type of Hospital
Abilene Behavioral Health
Abilene Psychiatric Center
Abilene Regional Medical Center
Accel Rehabilitation
Acuity Of South Texas
Allegiance Specialty Of Kilgore
Allegiance Specialty Of Plainview
Alvin Community
Angleton - Danbury Medical Center
Anson General
Apollo
Arise Austin Medical Center (Austin
Surgical )
Aspire Behavioral Health Of Conroe
Atrium Medical Center
Atrium Medical Center At Corinth
Audie Murphy VA Medical Center (South
Texas VA Health Care System)
Austin Lakes
Austin Oaks
Austin State
Ballinger Memorial
Baptist Emergency Hausman
Baptist Emergency Westover Hills
Baptist of Southeast Texas - Beaumont
Baptist Of Southeast Texas - Orange
Baptist Medical Center
Baptist St Anthonys Health System Baptist Campus
Basin Healthcare Center
Bay Area Regional Medical Center
Baylor All Saints Medical Center At Fort
Worth
Baylor College of Medicine Medical Center
Baylor Emergency Medical Center at
Aubrey (FKA: Emerus East Denton County)
Baylor Emergency Medical Center at
Burleson
Baylor Emergency Medical Center at
Colleyville
Baylor Emergency Medical Center at Keller
Baylor Emergency Medical Center at
Mansfield
Baylor Emergency Medical Center at
Murphy
Baylor Emergency Medical Center at
Rockwall
Baylor Institute For Rehabilitation - Dallas
Baylor Institute For Rehabilitation - Fort
Worth (FKA Globalrehab - Fort Worth)
Baylor Institute For Rehabilitation - Frisco
Baylor Institute For Rehabilitation Northwest Dallas (FKA Globalrehab Dallas)
Baylor Jack And Jane Hamilton Heart And
Vascular
Psychiatric
Psychiatric
Short Term Acute Care
Rehabilitation
Long Term Acute Care
Short Term Acute Care
Psychiatric
Short Term Acute Care
Short Term Acute Care
Short Term Acute Care
Short Term Acute Care
Short Term Acute Care
# Affiliated
Physicians
65
4
# Employees
122
612
52
142
53
58
33
2
231
121
45
128
ACO Affiliated
County
No
No
No
No
No
No
No
No
No
No
No
No
Taylor
Taylor
Taylor
Collin
Bexar
Gregg
Hale
Brazoria
Brazoria
Jones
Montgomery
Travis
Psychiatric
Long Term Acute Care
Long Term Acute Care
VA
67
117
335
No
No
No
No
Montgomery
Fort Bend
Denton
Bexar
Psychiatric
Psychiatric
Psychiatric
Critical Access
Short Term Acute Care
Short Term Acute Care
Short Term Acute Care
Short Term Acute Care
Short Term Acute Care
Short Term Acute Care
128
82
No
No
No
No
Yes
Yes
No
No
Yes
No
Travis
Travis
Travis
Runnels
Bexar
Bexar
Jefferson
Orange
Bexar
Potter
Ector
Harris
Tarrant
3
36
99
30
712
324
1,375
170
5,554
1,966
8
70
193
1,473
No
No
Yes
28
No
Yes
Harris
Denton
Short Term Acute Care
Yes
Johnson
Short Term Acute Care
Yes
Tarrant
Short Term Acute Care
Short Term Acute Care
Yes
Yes
Tarrant
Tarrant
Short Term Acute Care
Yes
Collin
Short Term Acute Care
Yes
Rockwall
Short Term Acute Care
Short Term Acute Care
Short Term Acute Care
Short Term Acute Care
Short Term Acute Care
Rehabilitation
Rehabilitation
270
80
Yes
Yes
Dallas
Tarrant
Rehabilitation
Rehabilitation
84
87
Yes
Yes
Denton
Dallas
308
Yes
Dallas
Short Term Acute Care
30
C | Appendix
Baylor Medical Center At Carrollton
Baylor Medical Center At Frisco
Baylor Medical Center At Garland
Baylor Medical Center At Irving
Baylor Medical Center At Mckinney
Baylor Medical Center At Trophy Club
Baylor Medical Center At Uptown
Baylor Medical Center At Waxahachie
Baylor Ortho And Spine At Arlington
Baylor Pickens Cancer
Baylor Regional Medical Center At
Grapevine
Baylor Regional Medical Center At Plano
Baylor Specialty
Baylor St Lukes Medical Center (Scheduled
to Open in 2015)
Baylor Surgical At Fort Worth
Baylor Surgical at Las Colinas (FKA Irving
Coppell Surgical )
Baylor University Medical Center
Bayshore Medical Center
Bayside Community
Behavioral Of Bellaire
Behavioral Of Longview
Bellville St Joseph Health Center (FKA:
Bellville General )
Ben Taub General
Big Bend Regional Medical Center
Big Spring State
Big Spring VA Medical Center (VA West
Texas Health Care System)
Bowie Memorial
Brazosport Regional Health System
Brooke Army Medical Center
Brownfield Regional Medical Center
Brownwood Regional Medical Center
Burleson St Joseph Health Center
Cambridge
Care Regional Medical Center (NorthBay
Healthcare)
Carl R Darnall Army Medical Center
Carrollton Springs
Carrus Rehabilitation
Carrus Specialty
Cedar Crest And Residential Treatment
Center
Cedar Park Regional Medical Center
Centennial Medical Center
Central Texas Medical Center
Central Texas Rehabilitation
Childrens Medical Center At Legacy in
Plano
Childrens Medical Center Of Dallas
Childrens Memorial Hermann
Childress Regional Medical Center
Chillicothe District
Christus Dubuis of Beaumont
Christus Dubuis Of Port Arthur
Christus - St Elizabeth
Christus - St Mary
Short Term Acute Care
Short Term Acute Care
Short Term Acute Care
Short Term Acute Care
Short Term Acute Care
Short Term Acute Care
Short Term Acute Care
Short Term Acute Care
Short Term Acute Care
Short Term Acute Care
Short Term Acute Care
128
72
176
193
48
13
19
82
32
550
511
842
900
174
127
142
312
120
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Denton
Denton
Dallas
Dallas
Collin
Denton
Dallas
Ellis
Tarrant
Dallas
Tarrant
193
932
Short Term Acute Care
Long Term Acute Care
Short Term Acute Care
121
656
146
Yes
Yes
Yes
Collin
Dallas
Harris
Short Term Acute Care
Short Term Acute Care
56
29
170
103
Yes
Yes
Tarrant
Dallas
Short Term Acute Care
Short Term Acute Care
Critical Access
Psychiatric
Psychiatric
Short Term Acute Care
695
165
5
11
4,366
1,658
64
156
107
85
Yes
Yes
No
No
No
Yes
Dallas
Harris
Chambers
Harris
Gregg
Austin
Short Term Acute Care
Critical Access
Psychiatric
VA
723
19
7,919
106
No
No
No
No
Harris
Brewster
Howard
Howard
Short Term Acute Care
Short Term Acute Care
Department of Defense
Short Term Acute Care
Short Term Acute Care
Critical Access
Psychiatric
Short Term Acute Care
6
89
141
602
7
60
8
172
487
74
64
150
No
No
No
No
No
Yes
No
No
Montague
Brazoria
Bexar
Terry
Brown
Burleson
Harris
San Patricio
93
34
64
153
No
No
No
No
No
Bell
Denton
Grayson
Grayson
Bell
27
Department of Defense
Psychiatric
Rehabilitation
Long Term Acute Care
Psychiatric
Short Term Acute Care
Short Term Acute Care
Short Term Acute Care
Rehabilitation
Childrens
69
75
89
406
313
493
121
No
Yes
No
No
No
Williamson
Collin
Hays
Travis
Collin
Childrens
Childrens
Short Term Acute Care
Critical Access
Long Term Acute Care
Long Term Acute Care
Short Term Acute Care
Short Term Acute Care
42
3,572
9
2
146
25
98
297
1,749
No
Yes
No
No
No
No
No
No
Dallas
Harris
Childress
Hardeman
Jefferson
Jefferson
Jefferson
Jefferson
C | Appendix
Christus Jasper Memorial
Christus Santa Rosa - New Braunfels
CHRISTUS Santa Rosa - Westover Hills
Christus Santa Rosa Childrens
Christus Santa Rosa - Alamo Heights
Christus Santa Rosa - City Centre (Closing
Adult Services After 7/31/12)
Christus Santa Rosa - Medical Center
CHRISTUS Southeast Texas Orthopedic
Institute - St Elizabeth (FKA Beaumont
Bone And Joint )
Christus Spohn Alice
Christus Spohn Beeville
Christus Spohn Corpus Christi - Memorial
Christus Spohn Corpus Christi - Shoreline
Christus Spohn Corpus Christi - South
Christus Spohn Kleberg
Christus St Michael Atlanta (FKA Atlanta
Memorial )
Christus St Michael
Christus St Michael Rehab
Citizens Medical Center
Clarity Child Guidance Psychiatric Health
Center
Clay County Memorial
Clear Lake Regional Medical Center
Clear Lake Rehabilitation
Cochran Memorial
Cogdell Memorial
Coleman County Medical Center
College Station Medical Center
Collingsworth General
Columbus Community
Comanche County Medical Center
Concho County
Connally Memorial Medical Center
Conroe Regional Medical Center
Continuum Rehabilitation of North Texas
Cook Childrens Northeast
Cook Ft Worth Childrens Medical Center
Coon Memorial
Cornerstone Of Austin
Cornerstone Of Houston - Bellaire
Cornerstone Of Houston - Clear Lake
Cornerstone Round Rock
Cornerstone -Medical Center of Houston
Cornerstone Regional
Corpus Christi Medical Center - Bay Area
Corpus Christi Medical Center - Bayview
Behavioral
Corpus Christi Medical Center - Doctors
Regional
Corpus Christi Medical Center - The Heart
Corpus Christi Rehabilitation (FKA
Esplanade Rehabilitation )
Coryell Memorial Healthcare System
Covenant Childrens
Covenant Levelland
Covenant Plainview
Covenant Medical Center
Short Term Acute Care
Short Term Acute Care
Short Term Acute Care
Childrens
Short Term Acute Care
Short Term Acute Care
30
208
No
No
No
No
No
No
Jasper
Comal
Bexar
Bexar
Bexar
Bexar
13
1,105
5
2,060
31
No
No
Bexar
Jefferson
Short Term Acute Care
Short Term Acute Care
Short Term Acute Care
Short Term Acute Care
Short Term Acute Care
Short Term Acute Care
Short Term Acute Care
35
20
276
200
304
3,334
26
292
126
No
No
No
No
No
No
No
Jim Wells
Bee
Nueces
Nueces
Nueces
Kleberg
Cass
Short Term Acute Care
Rehabilitation
Short Term Acute Care
Psychiatric
194
1,603
136
970
No
No
No
No
Bowie
Bowie
Victoria
Bexar
Critical Access
Short Term Acute Care
Rehabilitation
Critical Access
Short Term Acute Care
Critical Access
Short Term Acute Care
Critical Access
Short Term Acute Care
Critical Access
Critical Access
Short Term Acute Care
Short Term Acute Care
Rehabilitation
Short Term Acute Care
Childrens
Critical Access
Long Term Acute Care
Long Term Acute Care
Long Term Acute Care
Short Term Acute Care
Long Term Acute Care
Short Term Acute Care
Short Term Acute Care
Psychiatric
7
313
71
2,296
130
36
150
97
531
45
130
203
31
174
1,016
47
134
3,345
156
134
137
No
Yes
No
No
No
No
No
No
No
No
No
No
Yes
No
No
No
No
Yes
Yes
Yes
Yes
Yes
No
Yes
Yes
Clay
Harris
Harris
Cochran
Scurry
Coleman
Brazos
Collingsworth
Colorado
Comanche
Concho
Wilson
Montgomery
Denton
Tarrant
Tarrant
Dallam
Travis
Harris
Harris
Williamson
Harris
Hidalgo
Nueces
Nueces
Short Term Acute Care
161
1,319
Yes
Nueces
33
Yes
No
Nueces
Nueces
No
Yes
Yes
Yes
Yes
Coryell
Lubbock
Hockley
Hale
Lubbock
Short Term Acute Care
Short Term Acute Care
115
1
9
4
75
1
29
13
3
40
187
33
9
257
7
Short Term Acute Care
Rehabilitation
Critical Access
Childrens
Short Term Acute Care
Short Term Acute Care
Short Term Acute Care
77
60
14
324
13
26
342
149
308
3,039
C | Appendix
Covenant Medical Center - Lakeside
Campus
Covenant Specialty
Covenant Womens
Crane County District
Creek VA Medical Center (Amarillo VA
Health Care System)
Crescent Medical Center Abilene
Crescent Medical Center at Lancaster
Crosbyton Clinic
Cuero Community
Culberson
Cypress Creek
Cypress Fairbanks Medical Center
Dallas Medical Center
Dallas Regional Medical Center
Dallas VA Medical Center (North Texas VA
Health Care System)
Debakey VA Medical Center
Del Sol Medical Center
Dell Childrens Medical Center Of Central
Texas
Denton Regional Medical Center
Detar Navarro
Detar North
Dimmit County Memorial
Doctors At Renaissance
Doctors at White Rock Lake
Doctors Of Laredo
Doctors Tidwell
Driscoll Childrens
Dubuis Health System - Corpus
Dubuis Health System - Paris
Dubuis Of Bryan
Dubuis of Texarkana - North
Dubuis of Texarkana - South
East Houston Regional Medical Center
East Texas Medical Center Specialty
East Texas Medical Center - Athens
East Texas Medical Center - Carthage
East Texas Medical Center - Clarksville
East Texas Medical Center - Crockett
East Texas Medical Center - Fairfield
East Texas Medical Center - Gilmer (closing
October 31 2014)
East Texas Medical Center - Henderson
East Texas Medical Center - Jacksonville
East Texas Medical Center - Mount Vernon
East Texas Medical Center - Pittsburg
East Texas Medical Center - Quitman
East Texas Medical Center - Trinity
East Texas Medical Center - Tyler
East Texas Medical Center Rehabilitation
Center
Eastland Memorial
Edinburg Regional Medical Center
Edinburgh Childrens
El Campo Memorial
El Paso Childrens
El Paso LTACH
Short Term Acute Care
Long Term Acute Care
Short Term Acute Care
Critical Access
VA
Short Term Acute Care
Short Term Acute Care
Critical Access
Short Term Acute Care
Critical Access
Psychiatric
Short Term Acute Care
Short Term Acute Care
Short Term Acute Care
VA
VA
Short Term Acute Care
Childrens
121
2
1
13
2
99
46
63
34
72
271
47
191
607
324
344
Yes
Lubbock
Yes
Yes
No
No
Lubbock
Lubbock
Crane
Potter
No
No
No
No
No
No
Yes
No
No
No
Collin
Dallas
Crosby
De Witt
Culberson
Harris
Harris
Dallas
Dallas
Dallas
No
Yes
Yes
Harris
El Paso
Travis
Yes
No
No
No
No
Yes
No
No
No
No
No
No
No
No
Yes
No
No
No
No
No
No
No
Denton
Victoria
Victoria
Dimmit
Hidalgo
Dallas
Webb
Harris
Nueces
Nueces
Lamar
Brazos
Bowie
Bowie
Harris
Smith
Henderson
Panola
Red River
Houston
Freestone
Upshur
13
1,391
Short Term Acute Care
Short Term Acute Care
Short Term Acute Care
Short Term Acute Care
Short Term Acute Care
Short Term Acute Care
Short Term Acute Care
Short Term Acute Care
Childrens
Long Term Acute Care
Long Term Acute Care
Long Term Acute Care
Long Term Acute Care
Long Term Acute Care
Short Term Acute Care
Long Term Acute Care
Short Term Acute Care
Short Term Acute Care
Short Term Acute Care
Short Term Acute Care
Short Term Acute Care
Short Term Acute Care
146
88
791
775
7
326
134
58
29
31
145
2,807
437
610
256
1,371
29
29
37
43
Short Term Acute Care
Short Term Acute Care
Short Term Acute Care
Critical Access
Critical Access
Short Term Acute Care
Short Term Acute Care
Rehabilitation
18
27
3
9
8
4
302
162
135
48
159
96
63
2,669
219
No
No
No
No
No
No
No
No
Rusk
Cherokee
Franklin
Camp
Wood
Trinity
Smith
Smith
Short Term Acute Care
Short Term Acute Care
Childrens
Short Term Acute Care
Childrens
Long Term Acute Care
16
134
141
1,771
26
2
108
No
No
No
No
No
No
Eastland
Hidalgo
Hidalgo
Wharton
El Paso
El Paso
71
9
5
15
7
6
548
86
451
126
74
126
68
73
C | Appendix
El Paso Psychiatric Center
El Paso Specialty
El Paso VA Medical Center (El Paso VA
Health Care System)
Electra Memorial
Emerus Community - Tomball
Emerus - Sugar Land
Ennis Regional Medical Center
Ethicus - Grapevine
Faith Community
Falls Community And Clinic
First Street
Fisher County District
Forest Park Medical Center
Forest Park Medical Center - Austin
(Opening 2015)
Forest Park Medical Center - Fort Worth
Forest Park Medical Center - San Antonio
(Opening 2015)
Forest Park Medical Center Southlake
Forest Park Medical Center-Frisco
Fort Duncan Regional Medical Center
Foundation Surgical Of San Antonio
Foundations Surgical of El Paso (East El
Paso Physicians Medical Center LLC)
Frio Regional
Glen Oaks
Glen Rose Medical Center
Golden Plains Community
Gonzales Memorial
Good Shepherd Medical Center - Longview
Good Shepherd Medical Center Marshall
Goodall Witcher Healthcare Foundation
Grace Medical Center
Graham Regional Medical Center
Green Oaks
Grimes St Joseph Health Center
Guadalupe Regional Medical Center
Gulf Coast Medical Center
Hamilton General
Hamlin Memorial
Hansford County District
Harbor Of SE Texas
Hardeman County
Harlingen Medical Center
Harris Health System-Lyndon Baines
Johnson
Haskell Memorial
Healthbridge Childrens Houston
Healthsouth Rehab Of Austin
Healthsouth Rehab Of Cityview
Healthsouth Rehab Of Fort Worth
Healthsouth Rehab Of Humble
Healthsouth Rehab Of Midland
Healthsouth Rehab Of North Texas
Healthsouth Rehab Of Plano
Healthsouth Rehab Of San Antonio
Healthsouth Rehab Of Texarkana
Healthsouth Rehab Of Woodlands
Healthsouth Rehabilitation Of Cypress
Psychiatric
Short Term Acute Care
VA
No
No
No
El Paso
El Paso
El Paso
No
No
No
No
No
No
No
No
No
No
No
Wichita
Harris
Fort Bend
Ellis
Tarrant
Jack
Falls
Harris
Fisher
Dallas
Williamson
Short Term Acute Care
Short Term Acute Care
No
No
Tarrant
Bexar
Short Term Acute Care
Short Term Acute Care
Short Term Acute Care
Short Term Acute Care
Short Term Acute Care
No
No
No
No
No
Tarrant
Denton
Maverick
Bexar
El Paso
Critical Access
Short Term Acute Care
Short Term Acute Care
Short Term Acute Care
Long Term Acute Care
Short Term Acute Care
Short Term Acute Care
Short Term Acute Care
Critical Access
Short Term Acute Care
Short Term Acute Care
37
119
9
82
1
25
28
170
144
85
112
95
70
7
11
11
4
45
17
48
349
110
241
Short Term Acute Care
Psychiatric
Short Term Acute Care
Critical Access
Short Term Acute Care
Short Term Acute Care
Short Term Acute Care
Short Term Acute Care
Short Term Acute Care
Short Term Acute Care
Psychiatric
Critical Access
Short Term Acute Care
Short Term Acute Care
Short Term Acute Care
Short Term Acute Care
Critical Access
Long Term Acute Care
Critical Access
Short Term Acute Care
Short Term Acute Care
8
3
40
100
82
136
136
200
1,728
383
110
177
189
309
85
525
156
163
54
173
70
67
485
No
No
No
No
No
No
No
No
No
No
Yes
Yes
No
No
No
No
No
No
No
No
No
Frio
Hunt
Somervell
Hutchinson
Gonzales
Gregg
Harrison
Bosque
Lubbock
Young
Dallas
Grimes
Guadalupe
Wharton
Hamilton
Jones
Hansford
Jefferson
Hardeman
Cameron
Harris
Critical Access
Childrens
Rehabilitation
Rehabilitation
Rehabilitation
Rehabilitation
Rehabilitation
Rehabilitation
Rehabilitation
Rehabilitation
Rehabilitation
Rehabilitation
Rehabilitation
4
59
No
No
No
No
No
No
No
No
No
No
No
No
No
Haskell
Harris
Travis
Tarrant
Tarrant
Harris
Midland
Tarrant
Collin
Bexar
Bowie
Montgomery
Harris
14
16
16
213
47
8
51
17
1
86
18
12
2
3
110
131
126
138
144
198
174
176
138
123
115
C | Appendix
HealthSouth Rehabilitation of Wichita
Falls (Wichita Falls Rehab )
Healthsouth Southeast Texas
Rehabilitation
Healthsouth Sugar Land Rehabilitation
Heart Of Austin
Heart of Texas Memorial (McCulloch
County District)
Hemphill County
Hendrick Center For Extended Care
Hendrick Medical Center
Hereford Regional Medical Center
Heritage Park Surgical HERITAGE
Hickory Trail
Highlands Regional Rehab
Hill Country Memorial
Hill Regional
Hillcrest Baptist Medical Center
Hopebridge (FKA: Westbury Community )
Hopkins County Memorial
for Surgical Excellence of OakBend
Medical Center
Houston For Specialized Surgery
Houston Methodist Christus St John (FKA:
Christus St John )
Houston Methodist St Catherine (FKA:
Christus St Catherine )
Houston Northwest Medical Center
Houston Orthopedic And Spine
Houston Physicians
Humble Surgical
Hunt Regional Community
Hunt Regional Medical Center
Huntsville Memorial
Icon LLP
Integrity Transitional
Intracare North
Iraan General District
Jackson County
John Peter Smith
Kate Dishman Rehab
Katy Rehabilitation
Kell West Regional
Kerrville State
Kerrville VA Medical Center (South Texas
VA Health Care System)
Kimble
Kindred Bay Area
Kindred Baytown
Kindred Clear Lake
Kindred Dallas
Kindred Dallas Central
Kindred East Houston
Kindred El Paso
Kindred Fort Worth West
Kindred Houston
Kindred Houston Northwest
Kindred Mansfield
Kindred San Antonio
Kindred Spring
Rehabilitation
142
No
Wichita
Rehabilitation
86
No
Jefferson
Rehabilitation
Short Term Acute Care
Critical Access
125
364
72
No
Yes
No
Fort Bend
Travis
Mcculloch
No
No
No
No
No
No
No
No
No
Yes
No
No
No
Hemphill
Taylor
Taylor
Deaf Smith
Grayson
Dallas
El Paso
Gillespie
Hill
Mclennan
Harris
Hopkins
Fort Bend
8
Short Term Acute Care
Long Term Acute Care
Short Term Acute Care
Short Term Acute Care
Short Term Acute Care
Psychiatric
Rehabilitation
Short Term Acute Care
Short Term Acute Care
Short Term Acute Care
Short Term Acute Care
Short Term Acute Care
Short Term Acute Care
4
84
22
148
8
52
59
34
1,683
137
145
151
112
427
176
1,645
198
430
Short Term Acute Care
Short Term Acute Care
22
81
51
390
No
No
Harris
Harris
Short Term Acute Care
43
510
No
Harris
Short Term Acute Care
Short Term Acute Care
Short Term Acute Care
Short Term Acute Care
Critical Access
Short Term Acute Care
Short Term Acute Care
Long Term Acute Care
Long Term Acute Care
Psychiatric
Critical Access
Critical Access
Short Term Acute Care
Rehabilitation
Rehabilitation
Short Term Acute Care
Psychiatric
VA
205
55
44
29
1,053
226
130
73
40
647
434
202
93
260
52
99
5,172
46
105
197
Yes
No
No
No
No
No
No
No
No
No
No
No
No
No
Yes
No
No
No
Harris
Harris
Harris
Harris
Hunt
Hunt
Walker
Harris
Denton
Harris
Pecos
Jackson
Tarrant
Jefferson
Harris
Wichita
Kerr
Kerr
Critical Access
Long Term Acute Care
Long Term Acute Care
Long Term Acute Care
Long Term Acute Care
Long Term Acute Care
Long Term Acute Care
Long Term Acute Care
Long Term Acute Care
Long Term Acute Care
Long Term Acute Care
Long Term Acute Care
Long Term Acute Care
Long Term Acute Care
5
52
No
No
No
No
No
No
No
No
No
No
No
No
No
No
Kimble
Harris
Harris
Harris
Dallas
Dallas
Harris
El Paso
Tarrant
Harris
Harris
Tarrant
Bexar
Harris
247
10
26
5
114
71
2
6
416
118
130
434
142
152
268
365
102
102
C | Appendix
Kindred Sugar Land
Kindred Tarrant County (Arlington)
Kindred Tarrant County (Fort Worth
Southwest Campus)
Kindred The Heights
Kindred Tomball
Kindred Town And Country
Kindred White Rock
Kindred Rehabilitation Arlington
Kindred Rehabilitation Clear Lake
Kindred Rehabilitation Northeast Houston
Kingwood Medical Center
Kingwood Pines
Knapp Medical Center
Knox County
Lake Granbury Medical Center
Lake Pointe Medical Center
Lakeway Regional Medical Center
Lamb Healthcare Center
Laredo Medical Center
Laredo Specialty
Las Colinas Medical Center
Las Palmas Medical Center
Laurel Ridge Treatment Center
Lavaca Medical Center
Liberty - Dayton Community
Lifecare Of San Antonio
Lifecare s of Dallas
Lifecare s of Fort Worth
Lifecare s Of South Texas - North Campus
Lifecare s Of South Texas - South Campus
LifecCare s of Plano
Lillian M Hudspeth Memorial
Limestone Medical Center
Little River Healthcare - Cameron
Little River Healthcare - Rockdale (FKA
Little River Healthcare - Richards
Memorial )
Llano Specialty (Southwest Regional
Specialty )
Lonestar Behavioral Health
Longview Regional Medical Center
Lubbock Heart & Surgical
Lynn County
Madison St Joseph Health Center
Mainland Medical Center
Marble Falls (Scheduled to Open 2015)
Martin County
Matagorda Regional Medical Center
Mayhill
McAllen Heart
McAllen Medical Center
McCamey
McLane Childrens Scott & White
Medical Arts
Medical Center
Medical Center Of Arlington
Medical Center Of Lewisville
Medical Center Of Mckinney
Medical Center Of Plano
Long Term Acute Care
Long Term Acute Care
Long Term Acute Care
Short Term Acute Care
Long Term Acute Care
Short Term Acute Care
Long Term Acute Care
Rehabilitation
Rehabilitation
Rehabilitation
Short Term Acute Care
Psychiatric
Short Term Acute Care
Short Term Acute Care
Short Term Acute Care
Short Term Acute Care
Short Term Acute Care
Short Term Acute Care
Short Term Acute Care
Long Term Acute Care
Short Term Acute Care
Short Term Acute Care
Psychiatric
Critical Access
Critical Access
Long Term Acute Care
Long Term Acute Care
Long Term Acute Care
Long Term Acute Care
Long Term Acute Care
Long Term Acute Care
Critical Access
Critical Access
Short Term Acute Care
Critical Access
354
329
Fort Bend
Tarrant
Tarrant
Harris
Harris
Harris
Dallas
Tarrant
Harris
Harris
Harris
Harris
Hidalgo
Knox
Hood
Dallas
Travis
Lamb
Webb
Webb
Dallas
El Paso
Bexar
Lavaca
Liberty
Bexar
Dallas
Tarrant
Hidalgo
Hidalgo
Collin
Sutton
Limestone
Milam
Milam
4
21
75
148
41
152
No
No
No
No
No
No
No
Yes
No
No
No
No
Yes
No
No
No
No
Yes
Yes
No
No
No
No
No
No
No
No
No
No
No
No
No
25
No
Lubbock
92
727
294
105
87
661
No
No
No
No
Yes
Yes
Yes
No
No
No
No
No
No
Yes
No
No
Yes
Yes
Yes
Yes
Harris
Gregg
Lubbock
Lynn
Madison
Galveston
Burnet
Martin
Matagorda
Denton
Hidalgo
Hidalgo
Upton
Bell
Dawson
Ector
Tarrant
Denton
Collin
Collin
276
66
58
151
77
3
67
121
48
6
138
68
203
13
14
80
978
190
960
38
285
452
341
98
1,139
147
360
2,079
373
106
71
188
414
186
Long Term Acute Care
Psychiatric
Short Term Acute Care
Short Term Acute Care
Critical Access
Critical Access
Short Term Acute Care
Short Term Acute Care
Critical Access
Short Term Acute Care
Short Term Acute Care
Short Term Acute Care
Short Term Acute Care
Critical Access
Short Term Acute Care
Short Term Acute Care
Short Term Acute Care
Short Term Acute Care
Short Term Acute Care
Short Term Acute Care
Short Term Acute Care
No
No
No
122
26
5
5
3
39
1
80
278
1
62
76
151
1,556
1,033
616
694
1,335
9
168
125
96
120
301
C | Appendix
Medical City Childrens
Medical City Dallas
Medina Regional
Memorial Health System Of East Texas Lufkin
Memorial Hermann Katy
Memorial Hermann Memorial City Medical
Center
Memorial Hermann Northeast
Memorial Hermann Northwest
Memorial Hermann Southeast
Memorial Hermann Southwest
Memorial Hermann Sugar Land
Memorial Hermann Surgical - First Colony
(FKA: Sugar Land Surgical )
Memorial Hermann Surgical Kingwood
Memorial Hermann Texas Medical Center
Memorial Hermann The Woodlands
Memorial - Seminole
Memorial Medical Center
Memorial Medical Center - San Augustine
Childrens
Short Term Acute Care
Critical Access
Short Term Acute Care
300
21
116
2,336
167
798
Yes
Yes
No
No
Dallas
Dallas
Medina
Angelina
Short Term Acute Care
Short Term Acute Care
125
403
709
1,604
Yes
Yes
Fort Bend
Harris
Short Term Acute Care
Short Term Acute Care
Short Term Acute Care
Short Term Acute Care
Short Term Acute Care
Short Term Acute Care
101
978
941
65
22
4,965
445
88
Yes
Yes
Yes
Yes
Yes
Yes
Harris
Harris
Harris
Harris
Fort Bend
Fort Bend
Short Term Acute Care
Short Term Acute Care
Short Term Acute Care
Critical Access
Critical Access
Critical Access
15
756
69
4,472
6
25
7
185
183
48
Yes
Yes
Yes
No
No
No
Memorial Medical Center Livingston
Memorial Specialty
Mesa Hills Specialty
Mesquite Rehabilitation Institute
Mesquite Specialty
Methodist Ambulatory Surgery NW
Methodist Charlton Medical Center
Methodist Childrens
Methodist Dallas Medical Center
Methodist Heart
Methodist
Methodist For Surgery
Methodist Mansfield Medical Center
Methodist Mckinney
Methodist Rehabilitation
Methodist Richardson Medical Center
Methodist Specialty And Transplant
Methodist Stone Oak
Methodist Sugar Land
Methodist Texsan
Methodist West Houston
Methodist Willowbrook
Metroplex Adventist
Metropolitan Methodist
Mid Jefferson Extended Care
Midland Memorial
Midland Memorial - West Campus
Millwood
Mission Regional Medical Center
Mission Trail Baptist
Mission Vista Behavioral Health Center
Mitchell County District
Moore County District
Mother Frances - Tyler
Mother Frances - Winnsboro
Mother Frances Jacksonville
Muenster Memorial
Muleshoe Area District
Short Term Acute Care
Long Term Acute Care
Long Term Acute Care
Rehabilitation
Long Term Acute Care
Short Term Acute Care
Short Term Acute Care
Childrens
Short Term Acute Care
Short Term Acute Care
Short Term Acute Care
Short Term Acute Care
Short Term Acute Care
Short Term Acute Care
Rehabilitation
Short Term Acute Care
Short Term Acute Care
Short Term Acute Care
Short Term Acute Care
Short Term Acute Care
Short Term Acute Care
Short Term Acute Care
Short Term Acute Care
Short Term Acute Care
Long Term Acute Care
Short Term Acute Care
Short Term Acute Care
Psychiatric
Short Term Acute Care
Short Term Acute Care
Psychiatric
Critical Access
Short Term Acute Care
Short Term Acute Care
Critical Access
Critical Access
Critical Access
Critical Access
45
25
202
258
52
69
57
142
103
1,335
241
1,984
817
26
88
32
129
5,923
174
733
75
112
651
83
205
524
1,377
75
130
94
812
1,304
777
190
111
1,519
56
223
909
4
16
358
14
20
3
6
39
149
214
2,754
95
151
85
95
Harris
Harris
Montgomery
Gaines
Calhoun
San
Augustine
Polk
Angelina
El Paso
Dallas
Dallas
Bexar
Dallas
Bexar
Dallas
Bexar
Bexar
Dallas
Tarrant
Collin
Dallas
Dallas
Bexar
Bexar
Fort Bend
Bexar
Harris
Harris
Bell
Bexar
Jefferson
Midland
Midland
Tarrant
Hidalgo
Bexar
Bexar
Mitchell
Moore
Smith
Wood
Cherokee
Cooke
Bailey
No
No
No
No
No
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
No
Yes
No
No
No
Yes
No
No
No
No
No
Yes
No
No
No
No
No
No
No
No
C | Appendix
Nacogdoches Medical Center
Nacogdoches Memorial
Navarro Regional
New Braunfels Regional Rehabilitation
Nexus Specialty - Shenandoah
Nexus Specialty Woodlands
Nix Community General (FKA Community
General )
Nix Health Care System (Nix Medical
Center)
Nocona General
North Central Baptist
North Central Surgical Center
North Cypress Medical Center
North Hills
North Runnels
North Texas Medical Center
North Texas State
North Texas State - Vernon Campus
North Texas State - Witchita Falls Campus
Northeast Baptist
Northeast Methodist
Northwest Hills Surgical
Northwest Texas Healthcare System (The
Pavilion)
Northwest Texas Surgery Center
Oakbend Medical Center
OakBend Medical Center - Williams Way
Campus
Oceans Behavioral Abilene
Oceans Behavioral Fort Worth
Oceans Behavioral of Longview (FKA
Audubon Behavioral Healthcare Longview)
Oceans Behavioral of Lufkin (FKA
Audubon Behavioral Healthcare Lufkin)
Oceans Behavioral Permian Basin (FKA
Allegiance Of Midland)
Oceans Behavioral Plano
Ochiltree General
Odessa Regional Medical Center - East
Campus
Odessa Regional Medical Center - West
Campus
Olney Hamilton District
Otto Kaiser Memorial
Our Childrens House At Baylor
Palacios Community Medical Center
Palestine Regional Medical Center
Palestine Rehabilitation
Palo Pinto General
Pampa Regional Medical Center
Panhandle Surgical
Paris Regional Medical Center - North
Campus
Paris Regional Medical Center - South
Campus
Park Plaza
Parkland Health And System
Parkview
Parkview Regional
Short Term Acute Care
Short Term Acute Care
Short Term Acute Care
Rehabilitation
Short Term Acute Care
Long Term Acute Care
Short Term Acute Care
61
71
53
Short Term Acute Care
263
671
271
115
212
42
Yes
No
No
No
No
No
No
Nacogdoches
Nacogdoches
Navarro
Comal
Montgomery
Montgomery
Frio
100
661
No
Bexar
Short Term Acute Care
Short Term Acute Care
Short Term Acute Care
Short Term Acute Care
Short Term Acute Care
Critical Access
Short Term Acute Care
Psychiatric
Psychiatric
Psychiatric
Short Term Acute Care
Short Term Acute Care
Short Term Acute Care
Short Term Acute Care
5
103
33
181
130
3
41
233
1,301
666
38
238
26
130
76
1,387
No
Yes
Yes
No
Yes
No
No
No
No
No
Yes
Yes
No
No
Montague
Bexar
Dallas
Harris
Tarrant
Runnels
Cooke
Wichita
Wilbarger
Wichita
Bexar
Bexar
Travis
Potter
Short Term Acute Care
Short Term Acute Care
Short Term Acute Care
8
59
44
558
No
No
No
Randall
Fort Bend
Fort Bend
Psychiatric
Psychiatric
Psychiatric
66
57
No
No
No
Taylor
Tarrant
Gregg
Psychiatric
73
No
Angelina
Short Term Acute Care
37
No
Midland
Psychiatric
Critical Access
Short Term Acute Care
4
128
No
No
No
Collin
Ochiltree
Ector
Short Term Acute Care
38
603
No
Ector
Critical Access
Critical Access
Childrens
Critical Access
Short Term Acute Care
Rehabilitation
Short Term Acute Care
Short Term Acute Care
Short Term Acute Care
Short Term Acute Care
4
11
105
115
2
72
37
388
28
29
391
269
No
No
Yes
No
No
No
No
No
No
No
Young
Karnes
Dallas
Matagorda
Anderson
Anderson
Palo Pinto
Gray
Potter
Lamar
Short Term Acute Care
92
566
No
Lamar
Short Term Acute Care
Short Term Acute Care
Critical Access
Short Term Acute Care
120
648
2
9
456
9,353
84
119
Yes
No
No
No
Harris
Dallas
Wheeler
Limestone
C | Appendix
Parkway Surgical and Cardiovascular
Parmer Medical Center
Paul And Judy Andrews Womens At Baylor
All Saints
Pearland Medical Center (Opening January
2015)
Pecos County Memorial
Permian Regional Medical Center Andrews
County
Peterson Regional Medical Center
Physicians Centre
Pine Creek Medical Center LLP
Plains Memorial
Plano Specialty
Plaza Medical Center Of Fort Worth
Plaza Specialty
Plum Creek Specialty
Post Acute Medical Specialty of Corpus
Christi (FKA Kindred Corpus Christi)
Post Acute/Warm Springs Rehabilitation
Promise of Houston (FKA: Texas Specialty
- Houston)
Promise of Wichita Falls (FKA: Texas
Specialty - Wichita Falls)
Providence Health Center
Providence Health Depaul Center
Providence
Providence Memorial
Quail Creek Surgical
Quentin Mease Community
Rankin County District
Reagan Memorial
Red River
Red River Regional
Redoak
Reeves County District
Refugio County Memorial
Regency Of Fort Worth
Regency Of North Dallas
Reliant Abilene
Reliant Austin
Reliant Dallas
Reliant North Houston
Reliant Mid - Cities
Reliant Northwest Houston
Reliant Rehab Central Texas
Reliant Rehab North Texas
Resolute Health
Rice Medical Center
Rio Grande Regional
Rio Grande State Center
River Crest
Riverside General
Rock Springs Behavioral
Rolling Plains Memorial
Rollins Brook Community
Rusk State
Sabine County
Saint Michaels
San Angelo Community Medical Center
Short Term Acute Care
Critical Access
Short Term Acute Care
2
73
Short Term Acute Care
No
No
Yes
Tarrant
Parmer
Tarrant
Yes
Brazoria
Short Term Acute Care
Short Term Acute Care
13
8
167
338
No
No
Pecos
Andrews
Short Term Acute Care
Short Term Acute Care
Short Term Acute Care
Critical Access
Long Term Acute Care
Short Term Acute Care
Long Term Acute Care
Long Term Acute Care
Long Term Acute Care
129
17
34
4
660
64
116
81
67
787
73
55
125
No
No
No
No
No
Yes
Yes
No
No
Kerr
Brazos
Dallas
Castro
Collin
Tarrant
Harris
Potter
Nueces
Rehabilitation
Long Term Acute Care
51
No
No
Victoria
Harris
Long Term Acute Care
53
No
Wichita
219
1,975
89
181
33
1,095
173
No
No
No
Yes
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
No
Yes
No
No
No
No
No
No
No
No
No
No
Mclennan
Mclennan
Mclennan
El Paso
Potter
Harris
Upton
Reagan
Wichita
Fannin
Harris
Reeves
Refugio
Tarrant
Denton
Taylor
Travis
Dallas
Montgomery
Tarrant
Harris
Williamson
Dallas
Comal
Milam
Hidalgo
Cameron
Tom Green
Harris
Williamson
Nolan
Lampasas
Cherokee
Sabine
Harris
Tom Green
Short Term Acute Care
Psychiatric
Short Term Acute Care
Short Term Acute Care
Short Term Acute Care
Short Term Acute Care
Critical Access
Critical Access
Psychiatric
Critical Access
Short Term Acute Care
Critical Access
Critical Access
Long Term Acute Care
Long Term Acute Care
Rehabilitation
Rehabilitation
Rehabilitation
Rehabilitation
Rehabilitation
Rehabilitation
Rehabilitation
Rehabilitation
Short Term Acute Care
Critical Access
Short Term Acute Care
Psychiatric
Psychiatric
Short Term Acute Care
Psychiatric
Short Term Acute Care
Critical Access
Psychiatric
Critical Access
Short Term Acute Care
Short Term Acute Care
159
2
14
48
48
134
107
13
13
157
115
113
84
37
53
71
110
99
62
91
101
5
97
72
1,014
110
151
17
12
222
87
4
58
140
559
84
C | Appendix
San Antonio State
San Jacinto Methodist
Scenic Mountain Medical Center
Schleicher County
Schleicher County Medical Center
Scott & White Continuing Care
Scott & White - Llano
Scott & White - Round Rock
Scott & White - Temple
Scott & White Brenham
Scott and White Emergency - Cedar Park
Scott And White - Taylor (FKA Johns
Community )
Scott And White - College Station
Select Rehabilitation Of Denton
Select Rehabilitation of San Antonio (FKA
Globalrehab - San Antonio)
Select Specialty - Houston
Select Specialty - Longview
Select Specialty - Midland
Select Specialty - North Dallas
Select Specialty - San Antonio
Select Specialty - South Dallas
Select Specialty Houston - Houston
Medical Center
Select Specialty Houston - Houston West
Seton Edgar B Davis
Seton Highland Lakes
Seton Medical Center at the University of
Texas (Opening 2017)
Seton Medical Center Austin
Seton Medical Center Harker Heights
Seton Medical Center Hays
Seton Medical Center Williamson
Seton Northwest
Seton Shoal Creek
Seton Smithville Regional
Seton Southwest
Seymour
Shamrock General
Shannon Medical Center
Shannon Womens And Childrens
Shriners Childrens - Galveston
Shriners Childrens - Houston
Sierra Medical Center
Sierra Providence East Medical Center
Solara Conroe
Solara Harlingen
Solara Harlingen - Brownsville Campus
Solara McAllen
Solara McAllen - Edinburg Campus
South Texas Behavioral Health Center
South Texas Regional Medical Center
South Texas Rehabilitation
South Texas Spine And Surgical
South Texas Surgical
Southwest General
St Davids Childrens
St Davids Georgetown
St Davids Medical Center
Psychiatric
Short Term Acute Care
Short Term Acute Care
Critical Access
Short Term Acute Care
Long Term Acute Care
Short Term Acute Care
Short Term Acute Care
Short Term Acute Care
Short Term Acute Care
Short Term Acute Care
Critical Access
146
28
3
51
175
765
31
10
Short Term Acute Care
Rehabilitation
Rehabilitation
Long Term Acute Care
Long Term Acute Care
Long Term Acute Care
Long Term Acute Care
Long Term Acute Care
Long Term Acute Care
Long Term Acute Care
Long Term Acute Care
Critical Access
Critical Access
Short Term Acute Care
Short Term Acute Care
Short Term Acute Care
Short Term Acute Care
Short Term Acute Care
Short Term Acute Care
Psychiatric
Short Term Acute Care
Short Term Acute Care
Short Term Acute Care
Critical Access
Short Term Acute Care
Childrens
Childrens
Childrens
Short Term Acute Care
Short Term Acute Care
Long Term Acute Care
Long Term Acute Care
Long Term Acute Care
Long Term Acute Care
Long Term Acute Care
Psychiatric
Short Term Acute Care
Rehabilitation
Short Term Acute Care
Short Term Acute Care
Short Term Acute Care
Childrens
Short Term Acute Care
Short Term Acute Care
126
237
1,067
5,208
354
27
131
No
No
No
No
No
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Bexar
Harris
Howard
Schleicher
Schleicher
Bell
Llano
Williamson
Bell
Washington
Williamson
Williamson
104
41
Yes
No
No
Brazos
Denton
Bexar
No
No
No
No
No
No
No
Harris
Gregg
Midland
Denton
Bexar
Dallas
Harris
No
Yes
Yes
Yes
Harris
Caldwell
Burnet
Travis
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
No
No
No
No
No
No
Yes
Yes
Yes
Yes
Yes
Yes
Yes
No
No
No
No
No
No
Yes
Yes
Yes
Travis
Bell
Hays
Williamson
Travis
Travis
Bastrop
Hays
Baylor
Wheeler
Tom Green
Tom Green
Galveston
Harris
El Paso
El Paso
Montgomery
Cameron
Cameron
Hidalgo
Hidalgo
Hidalgo
Atascosa
Cameron
Bexar
Nueces
Bexar
Travis
Williamson
Travis
1,268
234
36
508
100
66
155
122
114
17
42
147
220
417
73
76
83
58
1,963
323
578
747
486
256
159
160
102
58
1,657
39
11
8
2
171
175
48
160
680
532
110
180
152
40
25
36
76
228
128
85
166
669
440
390
2,302
C | Appendix
St Davids North Austin Medical Center
St Davids Rehabilitation
St Davids Round Rock Medical Center
St Davids South Austin Medical Center
St Joseph Medical Center
St Joseph Regional Health Center
St Lukes Baptist
St Lukes Episcopal
St Lukes At The Vintage
St Lukes Lakeside
St Lukes Patients Medical Center
St Lukes Sugar Land
St Lukes The Woodlands
St Marks Medical Center
St Thomas Midtown (Baptist Emergency
Thousand Oaks)
Stamford Memorial
Starr County Memorial
Stephens Memorial
Stonewall Memorial
Sundance
Sunrise Canyon
Surgery Specialty s Of America - Southeast
Houston Campus
Sweeny Community
Swisher Memorial
Teague VA Medical Center (Central Texas
VA Health Care System)
Terrell State
Texas Center For Infectious Disease
Texas Childrens - West Tower
Texas Childrens West Campus
Texas Childrens Pavilion For Women
Texas General
Texas Health Arlington Memorial
Texas Health Center For Diagnostics &
Surgery Plano
Texas Health Harris Methodist Fort Worth
Texas Health Harris Methodist Alliance
Texas Health Harris Methodist Azle
Texas Health Harris Methodist Cleburne
Texas Health Harris Methodist Southlake
Texas Health Harris Methodist Southwest
Fort Worth
Texas Health Harris Methodist
Stephenville
Texas Health Harris Methodist Hurst Euless - Bedford
Texas Health Heart And Vascular Arlington
Texas Health Huguley Fort Worth South
(FKA: Huguley Memorial Medical Center)
Texas Health Presbyterian Dallas
Texas Health Presbyterian - Flower
Mound
Texas Health Presbyterian Allen
Texas Health Presbyterian Denton
Texas Health Presbyterian Kaufman
Texas Health Presbyterian Plano
Texas Health Presbyterian Rockwall
Texas Health Specialty
Short Term Acute Care
Rehabilitation
Short Term Acute Care
Short Term Acute Care
Short Term Acute Care
Short Term Acute Care
Short Term Acute Care
Short Term Acute Care
Short Term Acute Care
Short Term Acute Care
Short Term Acute Care
Short Term Acute Care
Short Term Acute Care
Short Term Acute Care
Short Term Acute Care
214
118
204
153
236
1,271
204
592
1,073
1,270
1,759
537
14
14
81
21
106
46
11
3,625
351
115
411
302
801
189
131
Yes
Yes
Yes
Yes
No
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
No
Yes
Short Term Acute Care
Short Term Acute Care
Short Term Acute Care
Critical Access
Psychiatric
Psychiatric
Short Term Acute Care
10
17
10
3
4
79
270
102
44
134
33
68
No
No
No
No
No
No
No
Jones
Starr
Stephens
Stonewall
Tarrant
Lubbock
Harris
Critical Access
Critical Access
VA
10
5
159
94
No
No
No
Brazoria
Swisher
Bell
Kaufman
Bexar
Harris
Harris
Harris
Dallas
Tarrant
Collin
Psychiatric
Long Term Acute Care
Childrens
Childrens
Childrens
Short Term Acute Care
Short Term Acute Care
Short Term Acute Care
Travis
Travis
Williamson
Travis
Harris
Brazos
Bexar
Harris
Harris
Montgomery
Harris
Fort Bend
Montgomery
Fayette
Bexar
109
7,208
7
211
53
137
1,343
165
No
No
No
No
No
No
Yes
Yes
Short Term Acute Care
Short Term Acute Care
Short Term Acute Care
Short Term Acute Care
Short Term Acute Care
Short Term Acute Care
416
24
25
47
42
159
3,746
207
205
364
164
889
Yes
Yes
Yes
Yes
Yes
Yes
Tarrant
Tarrant
Tarrant
Johnson
Tarrant
Tarrant
Short Term Acute Care
38
217
Yes
Erath
Short Term Acute Care
163
1,302
Yes
Tarrant
Short Term Acute Care
Short Term Acute Care
6
131
116
1,909
Yes
Yes
Tarrant
Tarrant
Short Term Acute Care
Short Term Acute Care
456
74
2,689
423
Yes
Yes
Dallas
Denton
Short Term Acute Care
Short Term Acute Care
Short Term Acute Care
Short Term Acute Care
Short Term Acute Care
Long Term Acute Care
77
112
33
196
75
322
882
193
1,264
451
41
Yes
Yes
Yes
Yes
Yes
Yes
Collin
Denton
Kaufman
Collin
Rockwall
Tarrant
C | Appendix
Texas Heart Institute
Texas Institute For Surgery At Presbyterian
Texas Neuro Rehab Center
Texas Orthopedic
Texas Regional Medical Center At
Sunnyvale
Texas Rehabilitation At Fort Worth
Texas Scottish Rite For Children
Texas Specialty At Dallas
Texas Specialty In Lubbock
Texas Spine And Joint
Texas Star Recovery
Texoma Medical Center
The Childrens at Northwest Texas
Healthcare System
The Childrens At Providence
The Devereux
The Heart Baylor Denton
The Heart Baylor Plano
The At Westlake Medical Center
The Leaves
The Louis & Peaches Owen Heart
The Medical Center Of Southeast Texas
The Menninger Clinic Psychiatric
The Methodist
The Woodlands (Opening 2015)
Throckmorton County
Timberlawn
TIRR Memorial Hermann
Titus Regional Medical Center
Tomball Regional
Tops Surgical Specialty
Trinity Mother Frances Rehabilitation
(Healthsouth Rehab Of Tyler)
TrustPoint of Lubbock
Tyler Continuecare
Tyler County
United Regional Medical Center
University Behavioral Health Of Denton
University Behavioral Health Of El Paso
University General
University
University Medical Center
University Medical Center Brackenridge
University Medical Center Of El Paso
University Of Texas - Harris County
Psychiatric Center
University of Texas Health Science Center
at Tyler (UT Health Northeast)
University Of Texas MD Anderson Cancer
Center
University Of Texas Medical Branch
Galveston
USMD At Arlington
USMD At Fort Worth
UT Southwestern University - St Paul
UT Southwestern University - Zale Lipshy
Uvalde Memorial
Short Term Acute Care
Short Term Acute Care
Long Term Acute Care
Short Term Acute Care
Short Term Acute Care
Rehabilitation
Childrens
Long Term Acute Care
Long Term Acute Care
Short Term Acute Care
Psychiatric
Short Term Acute Care
Childrens
Childrens
Psychiatric
Short Term Acute Care
Short Term Acute Care
Short Term Acute Care
Religious Non-Medical
Health Care Institution
Short Term Acute Care
Short Term Acute Care
Psychiatric
Short Term Acute Care
Short Term Acute Care
Critical Access
Psychiatric
Rehabilitation
Short Term Acute Care
Short Term Acute Care
Short Term Acute Care
Rehabilitation
27
133
56
64
355
375
56
146
491
50
62
266
160
1,044
240
No
No
No
Yes
Yes
Harris
Dallas
Travis
Harris
Dallas
Yes
No
No
No
No
No
No
No
Tarrant
Dallas
Dallas
Lubbock
Smith
Travis
Grayson
Potter
Yes
No
Yes
Yes
No
No
El Paso
Galveston
Denton
Collin
Travis
Dallas
Smith
Jefferson
Harris
Harris
Montgomery
103
41
629
159
19
92
646
774
5,655
2
30
No
No
No
No
No
No
236
616
497
945
146
181
No
Yes
No
No
No
No
Throckmorton
Dallas
Harris
Titus
Harris
Harris
Smith
100
146
99
1,635
169
267
454
5,558
2,813
1,555
2,376
433
No
No
No
No
No
No
No
No
No
Yes
No
No
Lubbock
Smith
Tyler
Wichita
Denton
El Paso
Harris
Bexar
Lubbock
Travis
El Paso
Harris
52
157
74
Short Term Acute Care
Long Term Acute Care
Short Term Acute Care
Short Term Acute Care
Psychiatric
Psychiatric
Short Term Acute Care
Short Term Acute Care
Short Term Acute Care
Short Term Acute Care
Short Term Acute Care
Psychiatric
8
Short Term Acute Care
62
896
No
Smith
Short Term Acute Care
1,253
19,334
No
Harris
Short Term Acute Care
460
6,496
No
Galveston
Short Term Acute Care
Short Term Acute Care
Short Term Acute Care
Short Term Acute Care
Short Term Acute Care
44
15
543
85
44
242
72
No
No
Yes
Yes
No
Tarrant
Tarrant
Dallas
Dallas
Uvalde
7
219
121
616
281
143
227
567
385
C | Appendix
VA Health Care Center At Harlingen (VA
Texas Valley Coastal Bend Health Care
System)
Val Verde Regional Medical Center
Valley Baptist Medical Center - Brownsville
Valley Baptist Medical Center - Harlingen
Valley Regional Medical Center
Vibra Rehabilitation of Amarillo (FKA
Kindred Rehabilitation Amarillo)
Vibra Rehabilitation of Lake Travis
Vibra Specialty Amarillo (FKA Kindred
Amarillo)
Vibra Specialty Of Desoto (FKA Vibra
Specialty Dallas)
Victory Medical Center - San Antonio
(Innova San Antonio)
Victory Medical Center Beaumont
Victory Medical Center Craig Ranch (FKA:
The At Craig Ranch)
Victory Medical Center Fort Worth
(Scheduled late 2014)
Victory Medical Center Houston
Victory Medical Center Landmark
Victory Medical Center Mid-Cities
(Southwest Surgical )
Victory Medical Center Plano
Victory Surgical East Houston
W J Mangold Memorial
Waco VA Medical Center (Central Texas VA
Health Care System)
Wadley Regional Medical Center
Walnut Hill Medical Center
Ward Memorial
Warm Springs Rehabilitation of Allen
(FKA: Twin Creeks )
Warm Springs Rehabilitation of Kyle
Warm Springs Rehabilitation Of San
Antonio
Warm Springs Rehabilitation Of Thousand
Oaks
Warm Springs Rehabilitation of Westover
Hills
Warm Springs Specialty Of Luling
Warm Springs Specialty Of New Braunfels
Warm Springs Specialty of San Antonio
(FKA Promise Specialty - San Antonio)
Warm Springs Specialty Of Victoria
Weatherford Regional Medical Center
Weslaco Rehab
West Houston Medical Center
West Oaks
Western Regional Medical Facility
Westside Surgical
Wilbarger General
William Beaumont Army Medical Center
William P Clements Jr University
Wilson N Jones Regional (FKA Texas Health
Presbyterian - WNJ)
Winkler County Memorial
Winnie Community
VA
No
Cameron
417
702
1,427
719
73
No
Yes
Yes
Yes
No
Val Verde
Cameron
Cameron
Cameron
Potter
Rehabilitation
Long Term Acute Care
188
No
No
Travis
Potter
Long Term Acute Care
116
No
Dallas
Short Term Acute Care
56
No
Bexar
Short Term Acute Care
Short Term Acute Care
97
No
No
Jefferson
Collin
No
Tarrant
No
No
No
Harris
Bexar
Tarrant
No
No
No
No
Collin
Harris
Floyd
Mclennan
Bowie
Dallas
Ward
Collin
Short Term Acute Care
Short Term Acute Care
Short Term Acute Care
Short Term Acute Care
Rehabilitation
41
93
199
75
Short Term Acute Care
Short Term Acute Care
Short Term Acute Care
Short Term Acute Care
Short Term Acute Care
Short Term Acute Care
Critical Access
VA
64
66
5
97
77
661
4
78
89
No
No
No
No
217
No
No
Hays
Bexar
Rehabilitation
No
Bexar
Rehabilitation
No
Bexar
138
111
75
No
No
No
Caldwell
Comal
Bexar
98
417
123
961
253
Victoria
Parker
Hidalgo
Harris
Harris
Lubbock
Harris
Wilbarger
El Paso
Dallas
Grayson
Winkler
Chambers
Short Term Acute Care
Short Term Acute Care
Critical Access
Rehabilitation
Rehabilitation
Rehabilitation
Long Term Acute Care
Long Term Acute Care
Long Term Acute Care
Long Term Acute Care
Short Term Acute Care
Rehabilitation
Short Term Acute Care
Psychiatric
Short Term Acute Care
Short Term Acute Care
Short Term Acute Care
Department of Defense
Short Term Acute Care
Short Term Acute Care
Critical Access
Critical Access
13
173
89
516
No
No
No
Yes
No
No
No
No
No
Yes
No
7
3
67
62
No
No
86
150
C | Appendix
Wise Regional Health System - Bridgeport
(FKA: North Texas Community )
Wise Regional Health System - East
Wise Regional Health System - West
Womans Of Texas
Woodland Heights Medical Center
Yoakum Community
Yoakum County
Short Term Acute Care
Short Term Acute Care
Short Term Acute Care
Short Term Acute Care
Short Term Acute Care
Critical Access
Critical Access
99
72
49
9
5
128
No
Wise
970
1,190
518
117
171
No
No
Yes
No
No
No
Wise
Wise
Harris
Angelina
Lavaca
Yoakum
Source: Definitive Healthcare, 2014
C | Appendix