Neurology Physician Salary in Texas (2026)
A Neurology physician practicing in Texas can expect a base salary inside the national Neurology band of $285K to $410K, with the median tracking close to $320K. The Texas variation on that number is driven mostly by anchor-employer comp structure in Houston, Dallas, Austin, San Antonio, Fort Worth, El Paso, Lubbock, Amarillo, the Rio Grande Valley and by shortage-area incentive stacking outside those metros — not by Texas cost-of-living alone.
Neurology compensation snapshot for Texas
- Typical Texas base range
- $285K – $410K (national median $320K)
- National demand signal
- very high
- Top Texas hiring metros
- Houston, Dallas, Austin, San Antonio, Fort Worth, El Paso, Lubbock, Amarillo, the Rio Grande Valley
- Texas HPSA / shortage posture
- Rio Grande Valley, west Texas, and panhandle counties carry the heaviest HPSA load
- Primary board
- ABPN Neurology certification
Where Neurology offers land highest in Texas
Texas is the second-largest physician-recruitment market in the United States. Anchored by Houston Methodist, Memorial Hermann, MD Anderson, Texas Health Resources, Baylor Scott & White, HCA Houston/North Texas, Methodist Health System, UT Southwestern, and CHRISTUS Health. For Neurology, the highest-comp Texas opportunities I see are typically not in the urban core of Houston — they sit in rural and HPSA-designated counties where the same Neurology role carries a 10-25% base premium plus signing bonuses of $30K-$100K and loan repayment of $50K-$200K layered on top of base. That stacking can push an Texas Neurology offer comfortably above the $410K national ceiling in year-one total cash.
Texas incentive programs that boost Neurology take-home
The Texas Physician Education Loan Repayment Program supports primary care physicians serving HPSA sites. The Texas State Loan Repayment Program supports behavioral health providers in HPSA sites. The Texas Conrad State 30 J-1 waiver program is competitive and consistently filled. The Border Health Foundation and several Rio Grande Valley-specific programs supplement these for border-county placements. NHSC loan repayment is widely used across rural Texas FQHCs. For Neurology specifically, these federal and state programs frequently add the equivalent of $30K-$60K per year of pre-tax value over the first three years of service.
How I benchmark a Neurology offer in Texas
When a Neurology candidate sends me an Texas offer, I check three things in order: (1) where the base lands inside the $285K–$410K band relative to MGMA regional percentiles, (2) the wRVU conversion factor and ramp/threshold structure, and (3) the call burden and stipend. Texas's licensing pace also matters for ramp timing: The Texas Medical Board licenses with a typical timeline of 90-150 days for US-trained physicians.
Engage a Texas Neurology compensation review
Email hire@physicianrecruitment.com for a written Texas Neurology compensation review of any offer you've received, at no cost. We benchmark against MGMA/AMGA percentiles and the active Texas Neurology pipeline we're working in real time.