Family Practitioner Jobs in Texas
Family Practitioner jobs in Texas are among the most active in the country, with strong demand concentrated in primary care clinics, federally qualified health centers, and large integrated health systems serving both urban and rural communities at every level from new graduate to senior attending. The heaviest hiring is in Houston, Dallas, and San Antonio, where employers like UT Health, Baylor Scott & White, and HCA Healthcare maintain extensive primary care networks. High-need specialties in Texas include geriatric care, chronic disease management, and rural and underserved community medicine. Find a role that fits below and apply directly.
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Job Description:
The Family Nurse Practitioner will function within any program operated by Serenity Light in accordance with State licensure. Programs operated by Serenity Light include residential substance use treatment facilities, day treatment programs, and intensive outpatient programs. The Family Nurse Practitioner will be primarily responsible for overseeing medical management of clients with substance use disorder, mental health conditions, and chronic medical conditions in accordance with standardized procedures and that of supervising physician staff. The Family Nurse Practitioner will assess clients, Initiate, or modify treatment within his/her scope of practice and seek consultation with supervising physician staff when clinically indicated. The Family Nurse Practitioner will participate in treatment team meetings with multidisciplinary staff members and participate in treatment planning for assigned clients. Services provided by the Family Nurse Practitioner will primarily be provided in-person but may be delivered virtually when necessary. The Family Nurse Practitioner will participate in rotating weekly on-call services. On-call services will cover a staff on-site that are within nursing professionals' scope of practice to ensure appropriate care is delivered in a timely manner.
Duties and Responsibilities:
- Assume principal responsibility for the medical, psychiatric, and addiction care needs of clients under direction of the supervising physician.
- Perform History & Physicals and/or review and update outside provider H&Ps for new admissions to residential treatment centers.
- Perform admission assessments and contribute to development of client-specific treatment plans.
- Assess clients and order medications as necessary to treat identified medical, psychiatric, and/or substance use disorders.
- Order and interpret specific laboratory studies when clinically indicated.
- Coordinate with multidisciplinary treatment team members at SHWC.
- Coordinate with clients outside providers, when clinically indicated.
- Counsel and educate clients on medical, psychiatric, and substance use conditions.
- Provide health education to staff (formally and informally) and clients related to medications, psychiatric conditions, substance use disorders, and medical conditions.
- Document in medical records in sufficient detail to Identify goals, interventions, outcomes and effectiveness of treatment.
- Consult with supervising physician for conditions outside of nurse practitioner scope and/or refer to specialized health resources for treatment.
- Utilize screening tools to monitor effectiveness of care provided.
- Adhere to infection control measures and maintains a safe environment of care for patients and staff.
- Signs, date and perform all charting, record keeping, and care plans in accordance with established policies and procedures.
- Provides high-quality client-centered care.
- Validates medication orders are transmitted to pharmacies electronically, or via fax/phone when electronic health record downtimes occur.
- Ensures compliance with all medical/nursing and regulations for DHCS and Joint Commission and reordered from vendors as needed.
Work Environment:
- Working indoors and outdoors
- Exposed to extreme weather conditions in person and while driving
- Slippery and uneven walking surfaces
- Working around moving objects or vehicles
- Working in close proximity to others
- Typical office and computer lab environment
- Mostly indoor office environment with windows
- Offices with equipment noise
- Offices with frequent interruptions
Physical Demands:
- Prolonged periods sitting at a desk and working on a computer
- Must be able to lift up to 15 pounds at times
- Attending conferences or training sessions
- Prolonged periods of walking, including stairs
- Offices with frequent interruption
Travel Required:
- Ability to travel to various office or facility locations.
Affirmative Action/EEOC Statement:
Serenity Light is an Equal Opportunity Employer.
Family Nurse Practitioner Reporting Relationship:
The Family Nurse Practitioner will report directly to the Chief Nursing Officer with a dotted line relationship to the Chief Medical Officer and supervising physician staff. All client care concerns will be reported to the supervising physician(s) involved in client care as appropriate.
Other Duties:
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.
Education & Qualification Requirements:
- Current Registered Nursing (RN) License required
- Bachelor's Degree from an accredited University required
- Master's Degree from an accredited nurse practitioner program
- Active registration as a Nurse Practitioner by the California Board of Registered Nursing
-
Certification from a national accrediting body, such as the American Nurses Credentialing Center (ANCC) (e.g. Family Nurse Practitioner, Psychiatric-Mental Health Nurse Practitioner, etc.)
- Alternatively, eligibility within 90-days of hire
-
Active Nurse Practitioner Furnishing license
- Alternatively, eligibility within 90-days of hire
-
Active DEA number and "X" Waiver to prescribe buprenorphine products
- Alternatively, eligibility within 90-days of hire
- Active Basic Life Support (BLS) certification
- Demonstrated experience and education in providing care for clients with mental health and substance use disorders.
- Other duties as assigned.
Job Requirements:
- Excellent communication skills
- Basic computer skills
- Must have valid Driver's License
- Adept counseling abilities
- Ability to coordinate with professionals from diverse backgrounds
- Commitment to the philosophy of recovery and continuity of the program
- Customer service oriented, professional attitude
- Current TB Test, CPR/First Aid
Work authorization/security clearance requirements:
- Valid Driver’s License
- Must possess a current CPR and First Aid certification.
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Find Family Practitioner JobsFamily Practitioner Jobs by City in Texas
Where Texas roles are concentrated, by current openings.
Family Practitioner Job Market in Texas
A snapshot from current Texas openings, updated as new roles post.
Who's Hiring


Top Industries Hiring
- Healthcare & Medical Services
- Non-Profit & Social Services
What Texas Employers Look For
The qualifications that appear most often in family practitioner jobs across Texas.
- Active Texas Medical License issued by the Texas Medical Board required
- Board certification or eligibility in Family Medicine from ABFM or AOBFP
- Completion of an accredited three-year family medicine residency program
- Current DEA registration and ability to prescribe controlled substances in Texas
- Valid BLS and ACLS certifications required at time of hire
- Experience with electronic health record systems, particularly Epic or Cerner
Family Practitioner Jobs in Texas: Frequently Asked Questions
How do you become a family practitioner in Texas?
To practice as a family practitioner in Texas, you must earn a medical degree, complete an accredited family medicine residency, and obtain a Texas Medical License through the Texas Medical Board. The TMB requires a completed application, verified training records, and passage of the USMLE or COMLEX. Most Texas employers also expect board certification through the American Board of Family Medicine before or shortly after hire.
How much do family practitioners make in Texas?
Family practitioners in Texas earn a median of about $235,710 a year, based on May 2025 Bureau of Labor Statistics wage data, ranging from around $75,150 for the lowest 10% to over $414,010 for the top 10%. Pay rises with experience, specialty, and employer.
Which companies hire family practitioners in Texas?
Employers hiring family practitioners in Texas right now include Texas Health Resources, HealthTexas Medical, and Empower Mental Health, based on current listings on Migrate Mate as of August 2026. Texas's largest integrated health systems and federally qualified health centers are consistently among the most active hirers, particularly for primary care roles in high-growth and underserved markets.
Which Texas cities have the most family practitioner jobs?
San Antonio, Houston, and El Paso have the most family practitioner openings in Texas. Houston and Dallas lead because of the concentration of large academic medical centers, multi-site clinic networks, and federally qualified health centers headquartered there, while San Antonio's substantial military and veteran health infrastructure drives consistent demand for primary care physicians across the metro.
Are there remote family practitioner jobs in Texas?
Yes, but they're rare. Family practitioner work is fundamentally hands-on and clinic-based, so fully remote positions are uncommon. About 9% of family practitioner openings tied to Texas are remote or hybrid as of August 2026, and those roles tend to involve telehealth consultations, chronic care management, or patient follow-up rather than full-scope in-person primary care.
How can I get hired as a family practitioner in Texas with little or no experience?
The most realistic entry path is applying directly to new-graduate or first-year attending positions at large Texas health systems like Baylor Scott & White, UT Health, and Texas Children's, which run onboarding programs designed for physicians completing residency. Community health centers across Texas, particularly those funded through HRSA, actively recruit new graduates and offer loan repayment incentives. Completing your Texas Medical Board licensing early and securing board eligibility before your residency ends gives you a clear hiring edge.
Where can I find and apply to family practitioner jobs in Texas?
You can find and apply to family practitioner jobs in Texas on Migrate Mate, which lists current openings from employers across the state. Search the listings, find roles that match your credentials and preferred location, and apply directly to the ones that fit.
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