Orthopedic Physician Assistant Jobs in Texas
Orthopedic Physician Assistant jobs in Texas represent one of the most active markets in the country, with strong demand from sports medicine clinics, orthopedic surgery groups, and major hospital systems serving patients at every level from new-grad entry positions through experienced senior clinicians. The heaviest hiring concentrates in Houston, Dallas-Fort Worth, and San Antonio, where anchor employers like Baylor Scott and White Health, Texas Orthopedics, and UT Health San Antonio maintain consistent orthopedic PA rosters. The most sought-after areas of practice are joint reconstruction, sports medicine, and spine surgery. Find a role that fits below and apply directly.
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Physician Assistant PA-C | Orthopedic Spine | San Antonio, TX
♤My client is looking for a ortho/spine or surgical experienced PA-C to join their spine-focused orthopedic practice in Shavano Park, TX.
♤This is a true ortho-spine role — you're in the OR and in the clinic. Not one or the other.
●What the schedule looks like:
Monday & Tuesday in the OR (6a–4p), Wednesday through Friday in clinic (8a–5p). After-hours call rotates monthly. No hospital call.
●What you'll be doing:
First assisting in spine surgery, seeing 16–20 patients independently in clinic, and handling new patient consults on your own.
●What they're offering:
$120,000+ based on experienced (Experience closer to Ortho/spine will be higher tier pay) + surgical bonus | Medical, Dental, PTO, CME allowance, licensure fees, and conference coverage
●What they need:
PA-C with at least 1 year of experience in Ortho/Spine or Surgery. Ortho/spine experience preferred but not required.
*If you've been looking for a role where you're actually in the OR room and not just managing refills, this is it.
☆Reach out directly:
Chad@nextdayhcp.com | 681-203-6515
Placed by NextDay Healthcare Placement — direct hire only, no contracts.
Chad Eubank @ NextDay Healthcare Placement, LLC
Pay: From $120,000.00 per year
Benefits:
- Dental insurance
- Health insurance
- Paid time off
Work Location: In person
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Where Texas roles are concentrated, by current openings.
Orthopedic Physician Assistant Job Market in Texas
A snapshot from current Texas openings, updated as new roles post.
Who's Hiring



Top Industries Hiring
- Healthcare & Medical Services
- Education
What Texas Employers Look For
The qualifications that appear most often in orthopedic physician assistant jobs across Texas.
- Active Texas Physician Assistant license issued by the Texas Medical Board required
- National Commission on Certification of Physician Assistants NCCPA certification required
- Minimum one to three years of orthopedic or surgical PA clinical experience preferred
- Proficiency with first assist in joint replacement, arthroscopy, and fracture management
- Experience with electronic health records, particularly Epic or Athenahealth
- BLS and ACLS certification required prior to start date
Orthopedic Physician Assistant Jobs in Texas: Frequently Asked Questions
How do you become a orthopedic physician assistant in Texas?
To work as an orthopedic physician assistant in Texas, you must hold an active license issued by the Texas Medical Board, which requires graduating from an accredited PA program and passing the PANCE exam administered by NCCPA. After licensure, Texas requires PAs to practice under a written delegation agreement with a supervising physician. Most orthopedic employers expect clinical rotations or fellowship training in musculoskeletal care before hiring into specialized orthopedic roles.
How much do orthopedic physician assistants make in Texas?
Orthopedic physician assistants in Texas earn a median of about $134,550 a year, based on May 2025 Bureau of Labor Statistics wage data, ranging from around $102,650 for the lowest 10% to over $169,000 for the top 10%. Pay rises with experience, specialty, and employer.
Which companies hire orthopedic physician assistants in Texas?
Employers hiring orthopedic physician assistants in Texas right now include Tenet Healthcare, CHRISTUS Health, and Baylor Scott & White Health, based on current listings on Migrate Mate as of October 2026. Texas's large integrated health systems and dedicated orthopedic specialty groups across the major metros consistently post openings throughout the year.
Which Texas cities have the most orthopedic physician assistant jobs?
El Paso, Houston, and Austin have the most orthopedic physician assistant openings in Texas. Houston and Dallas-Fort Worth lead because of their concentration of large hospital systems, Level I trauma centers, and high-volume orthopedic surgery practices, while San Antonio's military medical infrastructure and growing suburban population also generates steady orthopedic PA demand.
Are there remote orthopedic physician assistant jobs in Texas?
Yes, but they're rare. Orthopedic physician assistant work is inherently hands-on, involving surgical first assist, joint injections, and direct patient evaluation, which makes fully remote roles uncommon. About 0% of orthopedic physician assistant openings tied to Texas are remote or hybrid as of October 2026, and those positions typically involve telehealth follow-up visits or post-operative care coordination rather than procedural duties.
How can I get hired as a orthopedic physician assistant in Texas with little or no experience?
The most realistic entry path is applying for a PA residency or fellowship with an orthopedic or surgical focus, as programs affiliated with Baylor College of Medicine and UT Southwestern Medical Center in Texas prioritize new graduates. Lateral moves from surgical PA roles in trauma, spine, or sports medicine are also common entry points. Completing orthopedic rotations during PA school and obtaining DEA registration before job searching gives candidates a measurable edge with Texas employers.
Where can I find and apply to orthopedic physician assistant jobs in Texas?
You can find and apply to orthopedic physician assistant jobs in Texas on Migrate Mate, which lists current Texas openings from employers actively hiring right now. Search the available roles, find the ones that match your experience and preferred location, and apply directly to the employer.
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