CallataGuides

Business phone system for physician practices in Texas

21,500 physician practices operated in Texas in 2023. Where they are, how big their teams are, and what phone service costs them.

Establishments
21,500CBP 2023
Employees
217,413mid-March 2023
Per 100k residents
68.7U.S. 60.2
State rank
2nd of 51by count

The medical practice industry in Texas

County Business Patterns counts 21,500 establishments in Texas classified as Offices of Physicians (except Mental Health Specialists) (NAICS 621111) for 2023. They employed 217,413 people in mid-March and reported $22.9 billion in annual payroll. That is the 2nd highest count among the 51 states and DC with published figures. Physician practices make up 3.2% of the 670,878 business establishments in the state.

Per 100,000 residents (2024 estimate) Texas has 68.7 physician practices, 14.2% above the national rate of 60.2. The average establishment has 10.1 employees against 13.2 nationally. Payroll per employee is $105,429, in line with the U.S. figure of $105,652.

Physician practices: Texas compared with the U.S., 2023
MeasureTexasUnited States
Establishments21,500204,617
Mid-March employees217,4132,706,297
Annual payroll$22,921,596,000$285,925,593,000
Employees per establishment10.113.2
Payroll per employee$105,429$105,652
Establishments per 100,000 residents68.760.2

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 physician practices in Texas are concentrated

Census published medical practice counts for 62 metro or micropolitan areas that include part of Texas. The largest is Dallas, TX, with 6,620 establishments. Single-state metro and micropolitan areas account for 98% of the statewide total; the rest are outside any published area or in areas Census suppressed.

Physician practices by metro or micropolitan area, Texas, 2023
AreaEstablishmentsEmployeesPer 100k residents
Dallas, TX6,62059,83579.3
Houston, TX5,62852,41272.2
San Antonio, TX1,98123,74071.7
Austin, TX1,67922,44865.8
McAllen, TX6717,65673.3
El Paso, TX6125,60469.6
Corpus Christi, TX4203,22193.3
Brownsville, TX3333,31177.1
Beaumont, TX3252,55581.5
Lubbock, TX2763,85275.2
Amarillo, TX2382,62186.7
College Station, TX1531,03853.2
Tyler, TX1493,12059.8
Longview, TX1411,78047.7
Midland, TX1401,15474.2
Laredo, TX1321,30448.4
Waco, TX1312,27642.7
Wichita Falls, TX1191,18279.4
Abilene, TX1142,10361.9
Sherman, TX1091,33272.4
Lufkin, TX103769116.9
Killeen, TX1021,81920.0
Victoria, TX8772487.7
Odessa, TX851,01050.0
Texarkana, TX-AR7793352.9

Top 25 of 62 areas by establishments. Source: Census CBP 2023.

Team sizes at physician practices in Texas

57.8% of Texas's physician practices with employees had fewer than five people in March 2023, compared with 52.7% nationally. 76.2% had fewer than ten. That is the size of team where a missed call usually means nobody was free, not that nobody was on staff.

Physician practices in Texas by employment size, 2023
Employment sizeEstablishmentsShareU.S. share
1–4 employees12,43457.8%52.7%
5–9 employees3,94418.3%18.7%
10–19 employees2,89213.5%14.7%
20–49 employees1,6317.6%9.8%
50 or more employees5992.8%4.2%

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.

What physician practices in Texas use the phone for

Physician offices field a steady stream of scheduling, prescription refill and test-result calls, and the same few staff members usually answer all of them. Routing calls to the right person and capturing clear messages keeps the waiting room and the phone lines moving.

Typical inbound and outbound calls for physician practices in Texas:

When nobody can pick up

After-hours callers need to hear clearly what to do in an emergency, and non-urgent messages need to be waiting, transcribed, for staff the next morning.

Callata voicemail is transcribed and triaged for urgency, and business-hours routing decides where calls go once you close.

Phone system pricing for a 10-person medical practice

Physician practices in Texas average 10.1 employees, so the comparison uses a 10-person team. On a per-user plan that headcount sets the bill: $249.50 a month on Ooma Office Pro or $300.00 on RingCentral RingEX Core at list price (checked September 28, 2026). On Callata the same 10 people cost $199.00 a month, less than either per-seat plan.

The annual difference against RingCentral's monthly list price comes to $1,212. Some vendors discount annual contracts; the table shows month-to-month prices.

Monthly list price for a 10-person medical practice
Provider (plan)Pricing basisPer monthPer year
Callata (Callata Office)$99 incl. 5 users, $20 per extra user$199.00$2,388.00
Quo (Starter)$19.00 per user$190.00$2,280.00
Nextiva (Core)$23.00 per user$230.00$2,760.00
Ooma (Office Pro)$24.95 per user$249.50$2,994.00
Dialpad (Standard)$27.00 per user$270.00$3,240.00
RingCentral (RingEX Core)$30.00 per user$300.00$3,600.00

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. You can choose local numbers in the area codes your patients know, subject to carrier inventory, or port your current number for free.

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 physician practices 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.

If you already have a number in Texas, porting it to Callata is free. Texting from a local number requires a one-time carrier registration (10DLC, $49), and the numbers available in any area code depend on carrier inventory when you choose them.

Optional AI agents (receptionist, sales, support or scheduler) can answer calls after hours or when nobody picks up, take messages, text, email and transfer to your team. They are billed from prepaid AI minutes at $0.25 per minute, identify themselves as AI, and may only place outbound calls to people who consented, between 8am and 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 physician practices are in Texas?

21,500 in 2023, according to Census County Business Patterns. They employed 217,413 people in mid-March.

Which Texas metro area has the most physician practices?

Dallas, TX, with 6,620 establishments in 2023.

What does a phone system cost a 10-person medical practice?

$300.00 a month on RingCentral RingEX Core or $249.50 on Ooma Office Pro at month-to-month list prices (checked September 28, 2026); $199.00 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.