CallataGuides

Business phone system for chiropractic offices in Texas

2,596 chiropractic offices operated in Texas in 2023. Where they are, how big their teams are, and what phone service costs them.

Establishments
2,596CBP 2023
Employees
11,449mid-March 2023
Per 100k residents
8.3U.S. 11.7
State rank
3rd of 51by count

How many chiropractic offices operate in Texas

Texas had 2,596 chiropractic offices in 2023, according to Census County Business Patterns (NAICS 621310, Offices of Chiropractors). They employed 11,449 people in mid-March and reported $499.1 million in annual payroll. That is the 3rd highest count among the 51 states and DC with published figures. Chiropractic offices make up 0.39% of the 670,878 business establishments in the state.

Per 100,000 residents (2024 estimate) Texas has 8.3 chiropractic offices, 29.3% below the national rate of 11.7. The average establishment has 4.4 employees against 3.8 nationally. Payroll per employee is $43,598, 8.1% above the U.S. figure of $40,336.

Chiropractic offices: Texas compared with the U.S., 2023
MeasureTexasUnited States
Establishments2,59639,913
Mid-March employees11,449150,066
Annual payroll$499,149,000$6,053,057,000
Employees per establishment4.43.8
Payroll per employee$43,598$40,336
Establishments per 100,000 residents8.311.7

Census County Business Patterns 2023 (mid-March employment; annual payroll). Employees and payroll flagged high-noise are shown but not used in the text. Residents: Census Vintage 2024 estimates.

Where chiropractic offices in Texas are concentrated

Census published chiropractic office counts for 45 metro or micropolitan areas that include part of Texas. The largest is Dallas, TX, with 924 establishments. Single-state metro and micropolitan areas account for 95% of the statewide total; the rest are outside any published area or in areas Census suppressed.

Chiropractic offices by metro or micropolitan area, Texas, 2023
AreaEstablishmentsEmployeesPer 100k residents
Dallas, TX9243,92711.1
Houston, TX5422,2227.0
Austin, TX2931,18211.5
San Antonio, TX1801,3216.5
Amarillo, TX4116814.9
Lubbock, TX3919810.6
El Paso, TX381944.3
Tyler, TX3411513.6
McAllen, TX332263.6
Corpus Christi, TX321597.1
Killeen, TX312616.1
Beaumont, TX291067.3
Longview, TX28809.5
Waco, TX22—7.2
College Station, TX20867.0
Sherman, TX16—10.6
San Angelo, TX14—11.5
Abilene, TX13—7.1
Wichita Falls, TX13558.7
Texarkana, TX-AR13—8.9
Brownsville, TX12732.8
Victoria, TX11—11.1
Midland, TX10375.3
Granbury, TX10—14.5
Odessa, TX8464.7

Top 25 of 45 areas by establishments. Source: Census CBP 2023.

Team sizes at chiropractic offices in Texas

70.2% of Texas's chiropractic offices with employees had fewer than five people in March 2023, compared with 72.5% nationally. 92.0% had fewer than ten. At that size the phone is shared, so routing (who rings, when, and what happens after hours) matters more than the number of desk phones.

Chiropractic offices in Texas by employment size, 2023
Employment sizeEstablishmentsShareU.S. share
1–4 employees1,82270.2%72.5%
5–9 employees56621.8%21.0%
10–19 employees1746.7%5.6%
20–49 employees240.9%0.7%
50 or more employees90.3%0.1%

Employment-size classes count establishments by mid-March 2023 employment. Establishments with no March employees are excluded from the size classes, so shares are of establishments with employees. Source: Census County Business Patterns 2023.

Why the phone matters for chiropractic offices in Texas

Chiropractic care usually involves a series of visits, so much of the phone traffic is booking, moving and confirming recurring appointments. A small team that is busy treating patients needs calls answered or captured without interrupting adjustments. That holds for chiropractic offices in Texas as much as anywhere.

Typical inbound and outbound calls for chiropractic offices in Texas:

Texting patients

Text reminders for recurring visits and quick reschedule exchanges suit the repeat-visit rhythm of a chiropractic practice.

Texting from a local number in Texas requires carrier registration (10DLC), a one-time $49 fee on Callata.

What a phone system costs a chiropractic office in Texas

Chiropractic offices in Texas average 4.4 employees, so the comparison uses a 4-person team. Per-seat business phone plans bill every one of those people. At month-to-month list prices checked September 28, 2026, 4 users on RingCentral RingEX Core cost $120.00 a month and 4 on Ooma Office Pro cost $99.80. Callata comes to $99.00 a month for 4 users ($99 a month with 5 users included, then $20 per additional user), below both.

Over a year, that is $252 less than RingCentral for a chiropractic office in Texas of that size. Annual contracts lower some competitors' prices, so compare the plan you would actually sign.

Monthly list price for a 4-person chiropractic office
Provider (plan)Pricing basisPer monthPer year
Callata (Callata Office)$99 incl. 5 users, $20 per extra user$99.00$1,188.00
Quo (Starter)$19.00 per user$76.00$912.00
Nextiva (Core)$23.00 per user$92.00$1,104.00
Ooma (Office Pro)$24.95 per user$99.80$1,197.60
Dialpad (Standard)$27.00 per user$108.00$1,296.00
RingCentral (RingEX Core)$30.00 per user$120.00$1,440.00

Competitor prices are each vendor's published month-to-month list price per user for its lowest plan that includes business calling and texting, checked September 28, 2026: Quo Starter $19, Nextiva Core $23, Ooma Office Pro $24.95 (Essentials excludes texting; one-time $29.95 activation not included), Dialpad Standard $27, RingCentral RingEX Core $30 ($20 billed annually). Prices exclude taxes and fees and may change; annual contracts lower some competitors' prices.

Area codes in Texas

Texas has 29 geographic area codes in service according to NANPA. Callata includes up to 3 local numbers, so a chiropractic office can hold a number in more than one of them.

Area codes in Texas by assigned exchanges
Area codeExchangesTime zoneIn service sinceOverlay with
281786Central1996346, 621, 713, 832
469786Central1999214, 945, 972
832786Central1999281, 346, 713
512785Central1947737
713785Central1947281, 346, 621, 832
972785Central1996214, 469, 945
210784Central1992726
214784Central1947469, 945, 972
817780Central1953682
903771Central1990430
346752Central2014281, 621, 713, 832
956735Central1997none
806734Central1957none
254671Central1997none
361537Central1999none
940506Central1997none
830496Central1997none
409433Central1982none
936422Central2000none
682421Central2000817

Exchanges are NANPA-assigned central office codes (NPA-NXX) in the rate centers matched to the area's named places. Source: NANPA utilized code and NPA reports.

How Callata works for chiropractic offices in Texas

For $99 a month, Callata puts a team of up to 5 on one plan ($20 for each person after that): up to 3 local numbers, unlimited inbound calls, a pooled allowance of 1,500 outbound US and Canada minutes per user, browser and cell calling, voicemail transcription with urgency triage, recorded calls with AI summaries and business-hours routing, with E911 on every number.

Porting a number you already use in Texas is free, and business texting is available once the carrier registration (10DLC) is approved; the registration carries a one-time $49 fee. Which specific numbers are open in a given area code depends on carrier inventory at the time you sign up.

AI agents are optional: an AI receptionist or scheduler can pick up when the team is busy or closed, take a message, send a text or email, or transfer the call. They draw on prepaid AI minutes ($0.25/minute), disclose that they are AI, and outbound AI calls require prior consent and are limited to 8am–9pm.

Practices that handle protected health information should review their own privacy obligations before recording calls, enabling AI summaries or texting appointment details, and keep clinical conversations out of text messages unless their policies allow it.

Frequently asked questions

How many chiropractic offices are in Texas?

2,596 in 2023, according to Census County Business Patterns. They employed 11,449 people in mid-March.

Which Texas metro area has the most chiropractic offices?

Dallas, TX, with 924 establishments in 2023.

What does a phone system cost a 4-person chiropractic office?

$120.00 a month on RingCentral RingEX Core or $99.80 on Ooma Office Pro at month-to-month list prices (checked September 28, 2026); $99.00 on Callata ($99 a month with 5 users included, then $20 per additional user).

Do I need to register to text customers from a Texas number?

Yes. US carriers require business texting from local numbers to be registered (10DLC). On Callata the registration is a one-time $49 fee, and texting turns on once it is approved.