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Healthcare providers in Texas: counts by specialty
How many healthcare providers work in Texas? The federal NPPES registry listed 595,884 active NPIs with a practice address in the state as of the June 2026 snapshot, the 4th largest workforce among the 50 states and the District of Columbia. The single largest specialty is Behavior Technician, and Houston is the city with the most records. The table below lists the 30 specialties with the most active providers and the share each one holds.
The 30 largest specialties in Texas
| # | Specialty (primary taxonomy) | Active NPIs | % of state |
|---|---|---|---|
| 1 | Behavior Technician | 24,130 | 4.0% |
| 2 | Professional Counselor | 23,286 | 3.9% |
| 3 | Family Nurse Practitioner | 22,229 | 3.7% |
| 4 | Pharmacist | 18,564 | 3.1% |
| 5 | Student in an Organized Health Care Education/Training Program | 18,184 | 3.1% |
| 6 | Speech-Language Pathologist | 18,162 | 3.0% |
| 7 | Physical Therapist | 16,711 | 2.8% |
| 8 | Family Medicine Physician | 16,010 | 2.7% |
| 9 | General Practice Dentistry | 15,679 | 2.6% |
| 10 | Clinical Social Worker | 13,007 | 2.2% |
| 11 | Internal Medicine Physician | 12,377 | 2.1% |
| 12 | Home Health Agency | 11,751 | 2.0% |
| 13 | Mental Health Counselor | 11,545 | 1.9% |
| 14 | Physician Assistant | 11,058 | 1.9% |
| 15 | Chiropractor | 10,848 | 1.8% |
| 16 | Dentist | 9,248 | 1.6% |
| 17 | Registered Nurse | 8,787 | 1.5% |
| 18 | Occupational Therapist | 8,006 | 1.3% |
| 19 | Optometrist | 7,899 | 1.3% |
| 20 | Licensed Vocational Nurse | 7,562 | 1.3% |
| 21 | Pediatrics Physician | 7,075 | 1.2% |
| 22 | Behavior Analyst | 6,695 | 1.1% |
| 23 | Certified Registered Nurse Anesthetist | 6,686 | 1.1% |
| 24 | Durable Medical Equipment & Medical Supplies | 6,311 | 1.1% |
| 25 | Emergency Medicine Physician | 6,063 | 1.0% |
| 26 | Anesthesiology Physician | 6,046 | 1.0% |
| 27 | Community/Retail Pharmacy | 5,629 | 0.9% |
| 28 | Registered Dietitian | 5,473 | 0.9% |
| 29 | Physical Therapy Assistant | 5,462 | 0.9% |
| 30 | Nurse Practitioner | 5,287 | 0.9% |
What the numbers show
Behavior Technician leads with 24,130 active records, 4.0% of everything the state has, or 1.0 times the volume of Professional Counselor, the runner up at 23,286. Family Nurse Practitioner rounds out the podium with 22,229. Together, the top 5 specialties account for 17.9% of Texas's providers, and the 30 listed in the table cover 58.0% of the total. Overall, the state registry splits into 834 distinct taxonomies.
Geographically, active NPIs spread across 1,834 cities and towns in the state, but with heavy concentration: Houston (86,194), San Antonio (47,089) and Dallas (46,422) post the largest volumes. Texas holds 6.5% of all active US providers registered across the 50 states and the District of Columbia.
Source and method
Data: NPPES Data Dissemination file (National Plan and Provider Enumeration System), published by CMS as public domain data, snapshot of June 2026. Each provider is counted once, in the state and city of the Provider Business Practice Location, under the primary taxonomy declared in the NPI record itself. Only active NPI records are counted.
Important: an active NPI does not mean the professional is currently practicing, accepting new patients or even still working in the field; it only means the registration number remains valid. This page publishes aggregate counts only, never individual records.
Last updated: · Methodology and sources