Texas Housing Market for Physicians
The median home price in Texas is approximately $330,000. With a physician mortgage at 0% down and an estimated 6.875% rate on a 30-year fixed loan, the estimated monthly principal and interest payment is $2,168. Adding property taxes and insurance brings the estimated total monthly PITIA to approximately $2,759.
- Houston: $340,000 median
- Dallas: $380,000 median
- Austin: $475,000 median
- San Antonio: $290,000 median
- Statewide median: $330,000
- Property tax rate: 1.8% of assessed value (est. $495/month at median)
- State income tax: None — Texas has no state income tax
These estimates use a 6.875% rate for illustration. Your actual rate depends on FICO score, loan amount, and loan type. Use our physician mortgage calculator to model your exact scenario, or see current physician mortgage rate guidance.
Who Qualifies for a Physician Mortgage in Texas?
Physician mortgage programs are available nationwide, including in Texas. Eligible designations include MD, DO, DDS, DMD, PharmD, DVM/VMD, DPM, CRNA (with DNAP), DNP, and DNAP. Both practicing professionals and residents or fellows in training qualify. Residents with signed employment contracts can qualify based on their future attending salary when the start date is within 150 days of closing.
Key qualification requirements include a minimum 680 FICO score, maximum 50% debt-to-income ratio (45% for ARMs, 15-year fixed, or LTV above 95%), and primary residence occupancy. See our complete physician mortgage eligibility guide for full details.
Student Loan Treatment in Texas
The average medical school graduate carries approximately $200,000 in student loan debt. Under conventional lending rules, this creates a monthly DTI burden of $2,000 using the standard 1% calculation. Physician mortgage programs treat student debt far more favorably:
- Residents with deferred loans qualifying on training income can have student debt excluded entirely from DTI
- Practicing physicians on IBR/IDR plans use their actual monthly payment rather than 1% of total balance
- Impact example: A physician with $200K in student loans and a $1,200/month IBR payment saves $800/month in DTI impact vs conventional rules
This favorable treatment applies to all physician mortgage loans in Texas. Learn more in our student loan guide or check your numbers with our DTI calculator.
Texas-Specific Considerations
Calculate your physician mortgage payment for a Texas home
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