TX · Healthcare shortage profile
Tarrant County, TX
Peak severity leads this reading: Tarrant County's highest active HPSA score is 25.0, clearing HRSA's 17-point high-priority line. Population 2,110,640.
- Active HPSAs
- 11
- Population
- 2,110,640
- Peak shortage score
- 25.0
- MUA Index
- 55.3
Heavy-burden verdict
According to current HRSA Data Warehouse records, Tarrant County ranks among the most underserved counties in the country - 11 active HPSA designations, more than 84% of the 3,289 real US counties, with primary care the deepest gap.
- 11
- Active HPSA designations
- 3
- Dental shortages
- 25
- Peak severity score (of 26)
- Top 16%
- US counties by volume
Dense ZCTA lattice over Tarrant County
Tarrant County intersects 76 Census ZCTAs, above the 15-ZIP dense-tercile cut. Shortage designations still attach at the county (or smaller HPSA) grain; the ZIP list is geography, not a second severity score.
Largest land-share ZCTAs in this county
64 additional ZCTAs intersect this county in the crosswalk (ordered by land share).
Source: Census ZCTA–county relationship file joined to this portal's county FIPS set. As of 2026-08-15.
Key findings
What the HRSA Data Warehouse does not surface for Tarrant County, TX on its own pages , computed from the retained designation mirror as of 2026-08-15. Each line carries its own denominator so it can be quoted as it stands.
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Peak HPSA score 25.0 clears HRSA's 17-point high-priority line.
Scores at or above 17 on the 0–25/26 scales open NHSC placement priority for the matching provider type; eligibility still follows the designated area, not the county boundary alone.
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Closing Tarrant County's active designations would take about 54 additional clinician FTEs, with mental health the largest gap.
HRSA providers_needed summed once per HPSA id (no double-count across status rows): 18 primary care, 33 mental health, 2.5 dental. This is the federal gap estimate, not a headcount of practising clinicians.
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36.4% of Tarrant County's 11 active designations are primary care.
Discipline mix from designated HPSA records only: 4 primary care, 4 mental health, 3 dental (denominator 11).
Corpus placement
Active-designation volume placement
According to current HRSA Data Warehouse records, Tarrant County carries 11 active designations, above 84% of real US counties. Use the state peer line below before treating the national percentile as a local access verdict.
State peer position. Tarrant County falls in the upper quarter of TX counties by active-designation volume, at rank 15 of 254. Ties share a rank.
Computed from current designated HPSA rows for every five-digit county FIPS. See the placement methodology.
Healthcare shortage designations from HRSA. FIPS: 48439. Population: 2,110,640.
Medically Underserved Area
Peak severity scores
Current designated records only. Scores range 0–25 (primary/mental health), 0–26 (dental). Higher = greater need. What counts as a high score?
Highest-severity HPSA designations
All 11 active (designated) HPSAs in Tarrant County, ranked by HRSA shortage score.
| Name | Type | Score |
|---|---|---|
| North Texas Area Community Health Centers, Inc. | dental | 25.0 |
| North Texas Area Community Health Centers, Inc. | primary_care | 21.0 |
| North Texas Area Community Health Centers, Inc. | mental_health | 18.0 |
| LI-MHCA-Tarrant County | mental_health | 16.0 |
| LI - West Central Tarrant Co SA - Tarrant County | primary_care | 15.0 |
| FMC - Carswell | primary_care | 12.0 |
| FMC - Fort Worth | primary_care | 12.0 |
| FMC - Carswell | mental_health | 12.0 |
| FMC - Fort Worth | mental_health | 12.0 |
| FMC - Carswell | dental | 12.0 |
| FMC - Fort Worth | dental | 12.0 |
Heavy-burden reading for Tarrant County
Peak severity leads this reading: Tarrant County's highest active HPSA score is 25.0, clearing HRSA's 17-point high-priority line. Dental care carries Tarrant County's deepest shortage reading, 25.0 on HRSA's 0–26 dental scale, past the 17-point line HRSA uses to open National Health Service Corps placement and enhanced Medicare reimbursement. Primary care reads 21.0 of 25; Mental health reads 18.0 of 25. The county also sits inside a Medically Underserved Area, indexed at 55.3, and the lower the index, the greater the measured need.
Volume places Tarrant County above 84% of real US counties (11 active designations: 4 primary care, 4 mental health, 3 dental). Peak severity on the current designated set is 25.0. The table on this page lists the highest-severity records first so a reader can see which named facilities, geographies, or population groups drive that burden without treating the county total as a personal appointment forecast.
Tarrant County falls in the upper quarter of TX counties by active-designation volume, at rank 15 of 254. Heavy-burden counties are where NHSC placement, Community Health Center grant geography, and related federal instruments concentrate; eligibility still follows the designated area and provider type, not the county boundary alone.
Tarrant County designations by care type
Active Health Professional Shortage Area designations in the county, by provider category (high-priority disciplines emphasized).
- Primary care
Primary care
4 designations
- Mental health
Mental health
4 designations
- Dental
Dental
3 designations
Heavy-volume FTE gap in Tarrant County
HRSA providers_needed summed once per HPSA id for Tarrant County's active designations: about 54 FTE, a federal gap estimate, not a headcount of practising clinicians.
Source: HRSA Data Warehouse, Health Professional Shortage Areas (HPSA) + Medically Underserved Areas/Populations (MUA/P) HPSA primary-care, mental-health, and dental designations for Tarrant County, TX · 2026 HRSA designation data updated quarterly; HPSA scores 0-25 (primary/mental) and 0-26 (dental); higher = greater shortage severity. Coverage tiers from U.S. Census ACS PUMS + KFF state tracker.
Acting on a heavy-burden county
Tarrant County's shortage designations unlock specific federal programs and comparisons, here is how to act on them.
- Tarrant County's 11 active designations make providers here eligible for National Health Service Corps loan repayment, estimate the award and service terms. NHSC estimator
- See how the county's primary care burden compares with the rest of TX before you draw conclusions from a single score. TX overview
- Check whether an area clears HRSA's 3,500:1 population-to-provider threshold with the provider-to-population ratio behind an HPSA score. HPSA score lookup
HPSA scores describe shortage severity within HRSA's designation criteria, not the availability of any individual provider. For a specific appointment, contact a provider or your insurer; use HRSA's current tools to verify a designation.
Counties With a Similar Dental Shortage Score
Other U.S. counties whose active HRSA dental HPSA score is closest to Tarrant County's 25.0. This compares the designation score only, not local appointment availability or care quality. Start with Montgomery County, MD and Milwaukee County, WI.
Showing 6 of 2744 counties nationally with an active designation this severe.
Counties near Tarrant County's dental score of 25.0
One peer set for this severity-led county: nearest active dental HPSA score to 25.0 (severity lead on this page is “NORTH TEXAS AREA COMMUNITY HEALTH CENTERS, INC.”).
Montgomery County, MD
25.0 dental score · 1,062,061 pop.
Milwaukee County, WI
25.0 dental score · 939,489 pop.
Hamilton County, OH
25.0 dental score · 830,639 pop.
Miami-Dade County, FL
25.0 dental score · 2,701,767 pop.
Bexar County, TX
25.0 dental score · 2,009,324 pop.
Sacramento County, CA
25.0 dental score · 1,585,055 pop.
Frequently Asked Questions
- Does Tarrant County's MUA standing sit beside its HPSA records?
- Yes - Tarrant County carries an MUA designation (index 55.3; lower = greater measured need) in addition to its HPSA rows. MUA and HPSA are separate HRSA tracks; both can open different federal pathways.
- Which record sets Tarrant County's peak score of 25.0?
- "NORTH TEXAS AREA COMMUNITY HEALTH CENTERS, INC." leads the active set (score 25.0; dental; 327,368 people in the service area; designated 09/30/2005). Clearing 17 opens NHSC high-priority placement for the matching provider type on the designated geography. Discipline mix across 11 active rows: 4 primary care, 4 mental health, 3 dental.
- Which other active designations sit under Tarrant County's severity reading?
- After "NORTH TEXAS AREA COMMUNITY HEALTH CENTERS, INC.", the next active names on this release are "NORTH TEXAS AREA COMMUNITY HEALTH CENTERS, INC.", "NORTH TEXAS AREA COMMUNITY HEALTH CENTERS, INC.", "NORTH TEXAS AREA COMMUNITY HEALTH CENTERS, INC." and "LI-MHCA-Tarrant County". Provider need (id-de-duped) totals ~54 FTE across disciplines that still carry a gap.
- Which federal pathways follow Tarrant County's high-severity geography?
- Tarrant County's 11 active designations can open NHSC placement, CHC grants, Medicare bonus and J-1 waivers, eligibility follows the designated area and provider type, not merely the county line around "NORTH TEXAS AREA COMMUNITY HEALTH CENTERS, INC.".
- How does Tarrant County's peak severity sit inside TX?
- Tarrant County holds 11 active HPSA rows with peak 25.0. Tarrant County falls in the upper quarter of TX counties by active-designation volume, at rank 15 of 254. Score-nearest national peers appear below when the peer module renders. Score-nearest counties on this release include Montgomery County, MD and Milwaukee County, WI.
Source: HRSA Data Warehouse. FIPS: 48439. This county’s designations come from BCD_HPSA_FCT_DET_PC.csv (primary care) , BCD_HPSA_FCT_DET_MH.csv (mental health) and BCD_HPSA_FCT_DET_DH.csv (dental) — download the normalized export on our open data page. PlainHealthAccess is not affiliated with HRSA or any government agency.
HRSA Data Warehouse HPSA + MUA/P records for FIPS 48439 (Tarrant County, TX), vintage 2026-08-15. Active designation count 11; peak score 25.0; signature peak score 25.0. This profile is reference material, not professional advice; see methodology.