Neurologist Salary in Texas 2026,
$360,640 Median | BLS Data by City

The published Texas figure is $360,640 a year, or $173.38 an hour, per BLS OEWS May 2025 — 45.1% above the national median of $248,560. The band runs $99,490 at the 10th percentile, which is training-stage pay, to $449,840 at the 90th, with the 25th percentile at $238,320 and the 75th at $419,900. That is the widest premium over the national figure of any occupation in this unit.

Dallas-Fort Worth-Arlington at $360,640, which lands exactly on the statewide median, against Houston-Pasadena-The Woodlands at $277,960. Those are the only two Texas metros with a published figure for this occupation — with 660 neurologists statewide, no other metropolitan area holds enough of them for BLS to release an estimate.

Because the state is genuinely short of them. A location quotient of 0.69 means Texas employs neurologists at about two-thirds the national rate per capita, while its population grows faster than nearly any other state's and ages at the same time. Neurological demand — stroke, dementia, epilepsy — scales directly with that demographic profile. Health systems competing for a fixed and slowly growing supply of fellowship-trained physicians end up paying a premium, and the state's zero income tax lets that premium go further for the recipient.

No. The Texas Medical Board issues a single physician licence and no neurology endorsement. Specialty standing comes from a neurology residency and American Board of Psychiatry and Neurology certification, which the state does not administer. Hospital privileging and payer credentialing are the practical gates. One Texas-specific factor worth knowing is the state's statutory cap on non-economic damages in medical liability cases, enacted in 2003, which reduced malpractice premiums substantially and made Texas cheaper to practise in than it previously was.

Houston-Pasadena-The Woodlands at $277,960 against Dallas-Fort Worth-Arlington's $360,640 is an eighty-thousand-dollar gap, and the most likely explanation is composition. Houston holds one of the largest concentrations of academic medicine in the country, and academic and hospital-employed neurology pays below private and procedural practice everywhere. With only 660 neurologists in Texas the metro samples are small, so the gap should be read as a signal about employment mix rather than as a precise regional rate.

Three things compounding. Training capacity is national and fixed in the short run — neurology residency positions do not expand quickly, and subspecialty fellowships less so. Texas's population growth is the fastest in absolute terms of any state, so demand rises against that fixed supply faster here than elsewhere. And the state's geography spreads that demand across enormous distances, so a metro that would be adequately covered in a compact state is not in Texas. The result is 660 neurologists at a location quotient of 0.69 commanding a 45.1% premium.

The sample is small and the geography is thin. With 660 physicians statewide and only two published metros, the percentile ladder is less stable than on a page covering tens of thousands of workers, and the $99,490 10th percentile is residents rather than practising neurologists. The measure is also wage and salary income, which in neurology omits productivity compensation, procedural revenue in interventional practice, and partnership distributions — so the $449,840 ninetieth percentile marks where the published data stops, not where Texas neurology income stops.

Subspecialty first, and more sharply than in most fields: interventional and stroke neurology, epilepsy monitoring and neuromuscular medicine all carry procedural or high-acuity revenue that general outpatient neurology does not, and that is much of the distance from the $238,320 twenty-fifth percentile to the $419,900 seventy-fifth. Then employment structure, with academic appointments trading income for research and teaching time. Then geography within the state — smaller Texas markets pay recruitment premiums to fill a specialty they cannot otherwise staff. And then call burden, particularly stroke call, which is separately compensated in most Texas systems.