Internal medicine physician salary in Texas
BLS OEWS May 2025 places the annual median employee wage for internal medicine in Texas at $269,110; its separately published annual mean is $254,300. These doctor wage estimates are annualized at 2,080 hours, not total compensation or a guaranteed offer. Mean and median are not a salary range.
Internal medicine physicians · May 2025
View official Texas wage dataTexas wage snapshot
| Measure | Estimate |
|---|---|
| Mean annual wage | $254,300 |
| Median annual wage | $269,110 |
| Employment estimate | 3,850 |
| Wage relative standard error | 3.6% |
Employee wages annualized at 2,080 hours. Not total compensation, guaranteed pay or a salary range. RSE measures estimate uncertainty, not your pay spread.
How to read the wage estimate
BLS annualizes hourly wage rates at 2,080 hours. These are covered employee wages, not observed yearly earnings, total compensation or a guaranteed offer.
The Texas employment estimate is 3,850. Wage relative standard error is 3.6%; it describes estimate uncertainty, not individual pay variation or a pay percentile.
What the Texas internal medicine wage row can tell you
The wage relative standard error is 3.6%. RSE describes estimate precision, not the spread between individual offers. In the Texas row for internal medicine, $269,110 is the median annual employee wage and $254,300 is the mean. The employment estimate is 3,850 employee jobs, not current vacancies. Mean and median are different measures, not the ends of a salary range. These are employee wage estimates, not offers or total compensation.
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National compensation
U.S. internal medicine
Doximity 2026 reportNational full-time physician compensation, 2025 data. Not state wages.
Who was surveyed
2025 responses from full-time U.S. physicians working at least 40 hours a week.
Medscape: U.S. specialty total compensation
Medscape 2026 reportNational full-time physician compensation, 2025 data. Not state wages.
Who was surveyed
2025 income reported by full-time U.S. physicians. Includes base salary, incentive bonus and other income, such as profit-sharing. Rounded as published; not a state figure.
AMGA: medical-group clinical compensation
AMGA 2026 selected dataNational organizational clinical compensation, 2025 data. Not a state average.
Who was surveyed
2025 compensation reported by participating medical groups and health systems. National selected data, not this state's average or base salary.
National total compensation, not this state's average. Do not blend these surveys with state wages or call the figures a salary range.
Why the sources differ
Do not average these surveys together. Doximity and Medscape survey physicians; AMGA surveys organizations. Specialty definitions, work patterns, pay components and samples differ. Use each as a separate reference for the written offer.
The national survey measures compensation; the BLS state estimate measures employee wages. Different populations and pay definitions mean these are context, not directly comparable endpoints of a salary range. The national figure is not a state average.
Licensing and first-shift checks in Texas
Texas uses a two-stage physician application: pre-licensure screening, then licensing. A screen-complete file is not yet a finding of eligibility. The FSMB Uniform Application does not replace the Texas application, and FCVS is optional and does not guarantee licensure or a faster result. The board asks applicants to follow the Lacking Reasons items in LIST, then register the license after it is issued. For a Texas offer, make the remaining document owners, issued license, registration and facility readiness separate checklist items rather than treating an application as permission to start.
Build an internal medicine offer checklist
Use the actual job description to check the work that sits behind the pay number. These are questions for the hiring team, not claims about available Saile jobs.
- Separate clinic sessions from inpatient coverage, admitting, nights and cross-coverage. Ask which patient populations and procedures are part of this role.
- Get the inbox, results, refills and after-hours owner in writing. Compare appointment time and administrative time alongside the pay unit.
- For a second job, check how the schedule fits the primary employer agreement, and confirm malpractice coverage for this exact setting.
Compare a written physician offer · Credentialing a second physician job · Physician telemedicine work
Internal medicine salary questions in Texas
What are the average and median internal medicine salaries in Texas?
BLS May 2025 SOC 29-1216 Internal Medicine Physicians (General) reports a mean annual employee wage of $254,300 and a median of $269,110 in Texas. The employment estimate is 3,850, with wage RSE 3.6%. Annual estimates use hourly wages annualized at 2,080 hours; they are not total compensation or a guaranteed offer. Mean and median are not a salary range.
What is the hourly equivalent of internal medicine pay in Texas?
Dividing the annual mean by 2,080 gives $122.26 per hour; dividing the annual median by 2,080 gives $129.38 per hour, rounded to cents. These are arithmetic equivalents of covered employee wage estimates, not quoted locums, per-diem or telemedicine rates.
How should Texas wages be compared with national internal medicine compensation?
The BLS Texas figures measure covered employee wages. The national Doximity, Medscape and AMGA cards above describe different total-compensation survey populations and pay components. They are separate context, not apples-to-apples comparisons; these figures do not establish that Texas pay is higher or lower nationally.
What should I verify before starting internal medicine work in Texas?
Texas uses a two-stage physician application: pre-licensure screening, then licensing. A screen-complete file is not yet a finding of eligibility. The FSMB Uniform Application does not replace the Texas application, and FCVS is optional and does not guarantee licensure or a faster result. The board asks applicants to follow the Lacking Reasons items in LIST, then register the license after it is issued. For a Texas offer, make the remaining document owners, issued license, registration and facility readiness separate checklist items rather than treating an application as permission to start.
How can doctors look for higher-paying or part-time internal medicine work in Texas?
Use the “Find free gigs on Saile today” download link on this page to set up a profile and search. Compare each role’s written pay terms, hours, duties and costs with your needs. Matching depends on specialty, credentials and location; no current openings, higher pay or placement are guaranteed.
Source definitions
BLS May 2025 OEWS combines six survey panels over three years. It covers wage and salary employees, not self-employed physicians or unincorporated owners. Wages include straight-time gross pay and certain incentives, but exclude benefits, overtime, shift differentials and nonproduction bonuses. The relative standard error describes estimate uncertainty, not your pay spread.
BLS methods · State data · National survey methods and specialty table
Texas Medical Board: full medical license application · HHS: licensing across state lines
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