Skip to main content


Texas covers 261,797 square miles, with a 2020 estimated population of 29,145,505 people – 3,014,819 living in rural Texas (USDA-ERS). It ranks second among U.S. states in both area and population. Austin, the capital, is located in the south-central region of the state. The state's largest cities are Houston, San Antonio, and Dallas. According to 2019 data from the U.S. Census Bureau, 78.7% of the state's population is white, 12.9% is African-American, 5.2% is Asian, 1.0% is American Indian or Alaska Native, 0.1% is Native Hawaiian or Other Pacific Islander, and 39.7% is of Hispanic or Latino origin.

Texas Rural Healthcare Facilities

Critical Access Hospitals
Rural Health Clinics
Federally Qualified Health Centers*
Short Term/PPS Hospitals*
*Sites located outside of Urbanized Areas according to July 2021.

Selected Social Determinants of Health for Rural Texas

18.4% of Texas residents lack health insurance (Kaiser, 2019). According to the USDA Economic Research Service, the average per capita income for Texans in 2019 was $52,813, with the rural per capita income at $42,214. The ERS reports, based on 2019 ACS data, that the poverty rate in rural Texas is 17.1%, compared with 13.3% in urban areas of the state. 20.0% of the rural population has not completed high school, while 15.9% of the urban population lacks a high school diploma according to 2015-2019 ACS data reported by ERS. The unemployment rate in rural Texas is 7.2%, and in urban Texas it is 7.7% (USDA-ERS, 2020).

For a national comparison, please see an overview of the United States.

Data Sources
Kaiser Family Foundation State Health Facts; U.S. Census Bureau QuickFacts; USDA Economic Research Service: State Fact Sheets


Texas State Office of Rural Health
Phone: 512.936.6730
Works with local health care providers, county leaders, and state partners to support access to quality health care for rural Texans. Assists rural health providers through a variety of programs including information and referral, assistance with medical license applications, grants and educational awards for individual clinicians, health care institutions, and other organizations.
view details

There are more organizations related to Texas in the organizations section.

Last Reviewed: 4/19/2021