NP & PA Jobs in Houston, TX

Houston's healthcare landscape is defined by diversity—both in patient populations and in healthcare delivery models. The Houston metro area is home to over 30 federally qualified health centers serving nearly 1 million patients across Harris County and surrounding areas. These FQHCs provide essential primary care, preventive services, and chronic disease management to uninsured and underinsured populations, including recent immigrants, agricultural workers, and low-income families. For healthcare providers seeking meaningful work in a growing, vibrant city, FQHCs in Houston offer the opportunity to impact some of the state's most vulnerable populations while building a sustainable career.

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Why Work in Houston?

Texas Medical Center — largest medical complex globally

Over 30 FQHCs serving nearly 1 million patients

No state income tax — salaries stretch further

Cost of living 8–12% below national average

Diverse patient population (44% Hispanic, 28% Black)

NP salary range: $110,000–$145,000 at FQHCs

Houston's diversity directly shapes FQHC work here. Many centers specialize in caring for specific communities—recent immigrants, uninsured workers, LGBTQ+ populations, and people experiencing homelessness. The city consistently ranks as one of the most affordable major U.S. cities, and the lack of state income tax adds another financial advantage. An NP earning $120,000 in Houston has roughly equivalent purchasing power to one earning $140,000+ in LA or NYC.

Texas NP Practice Authority

Texas has restricted practice authority for NPs. All NPs must maintain a supervisory relationship with a collaborating physician, though the physician does not need to be on-site. FQHCs make this collaborative model straightforward and effective in team-based settings.

Read the full Texas practice guide →

Top FQHC Employers in Houston

Legacy Community Health

Houston's largest FQHC network with 25+ locations serving over 350,000 patients annually. Offers competitive salaries, loan repayment, and strong career development.