<p>A 1099 Emergency Medicine opportunity at a 222-bed acute care facility in Texas City, Texas — HCA Houston Healthcare Mainland — offers 12-hour shift coverage, scribes and APP support, and a manageable annual volume of 1,800–22,000 visits. The department carries a Level IV Trauma designation and is backed by a robust roster of on-call subspecialists. Texas City sits on Galveston Bay, 14 miles from Galveston Island and 40 miles south of Houston, delivering Gulf Coast lifestyle with easy access to a major metro.</p>
<h3>Perks and Benefits</h3> <ul> <li>Competitive compensation structure for independent contractor (1099) engagement</li> <li>Professional malpractice insurance paid by the group</li> <li>Concierge-level travel and lodging arrangements fully covered</li> <li>Flexible shift-based scheduling — no administrative or call obligations beyond scheduled shifts</li> </ul>
<h3>Practice Highlights</h3> <ul> <li>222-bed acute care hospital with emergency care, heart and vascular, general and minimally invasive surgery, orthopedic surgery, and rehabilitation services</li> <li>Level IV Trauma Center, accredited chest pain center, and primary stroke center</li> <li>Annual ED volume of approximately 1,800–22,000 visits; patients per hour (PPH) running 1.8–2.0</li> <li>24-hour shift coverage model with 12-hour shifts: 7a–7p and 7p–7a</li> <li>Scribe support and APPs on staff daily from 12p–8p</li> <li>EMR: MediTech</li> <li>On-call backup specialties include General Surgery, Orthopedics, Oncology, OB/GYN, Cardiology, Intensivist, and Pulmonology</li> <li>Campus of HCA Houston Healthcare Clear Lake — part of a large regional health system with subspecialty depth and institutional resources</li> </ul>
<h3>Qualifications</h3> <ul> <li>Board certification or board eligibility required — ABEM or AOBEM accepted</li> <li>Active Texas medical license required at time of start</li> <li>Active DEA registration required</li> <li>Comfort with the full spectrum of community ED acuity, including Level IV trauma stabilization and chest pain/stroke protocols</li> </ul>
<h3>About the Community</h3> <p>Texas City occupies the southwestern shore of Galveston Bay in Galveston County, just off the Gulf of Mexico — a setting that combines coastal recreation, affordable living, and strong regional connectivity. Galveston Island's beaches, dining, and cultural attractions are 14 miles south, while Houston's full metropolitan amenities — world-class medical center, international airport, professional sports, and a nationally recognized restaurant scene — are 40 miles north. For clinicians who want Gulf Coast lifestyle without sacrificing urban access, Texas City delivers both.</p>