Best Physician Mortgage Loans in Texas: Top 5 Picks

TLDR:
Physicians in Texas have access to several competitive physician mortgage loan programs that offer low or zero down payment, no PMI, and flexible approval terms. This guide highlights the top five physician lenders serving Texas in 2025 and what makes each option stand out.

Why Texas Is Ideal for Physician Homebuyers

Texas stands out as one of the most appealing states for physicians to plant roots. With no state income tax, a strong job market in healthcare, and a mix of affordable and high-end housing markets, it’s a logical choice for both early-career and established doctors.

Major cities like Austin, Dallas, Houston, and San Antonio offer prestigious hospitals, residency programs, and private practice opportunities. Meanwhile, suburban and rural areas provide affordable cost of living and space to grow.

But rising home prices in urban centers mean physicians need access to financing solutions that work for their financial situation—and that’s where physician mortgages come in.

What Is a Physician Mortgage?

A physician mortgage is a home loan designed specifically for doctors, dentists, and other healthcare professionals. Unlike conventional loans, physician mortgage loans are built with doctors’ unique income structure, debt burden, and career path in mind. Some refer to it as the white coat mortgage.

Common features include:

• 0–10% down payment options

• No private mortgage insurance (PMI)

• Consideration of future income based on a signed employment contract

• Flexible debt-to-income (DTI) ratio requirements

• Special allowances for student loan debt

These perks can make the difference between qualifying and being denied, especially for early-career physicians with six-figure student loan balances.

Who Qualifies for a Physician Loan in Texas?

Each lender sets its own guidelines, but most physician mortgage programs are open to:

• Medical doctors (MD, DO)

• Dentists (DDS, DMD)

• Podiatrists (DPM)

• Optometrists (OD)

• Veterinarians (DVM)

• Pharmacists and other licensed providers (select lenders)

Residents, fellows, and attending physicians typically qualify. Many lenders also accept non-permanent residents on H-1B visas.

Top 5 Physician Mortgage Lenders in Texas (2025)

Here are the top physician lenders serving Texas, based on flexibility, customer service, and doctor-friendly underwriting.

1. Alliant Credit Union – New & Established Physicians

Alliant  offers one of the most flexible physician loan programs on the market.

Why It Stands Out:

• 100% financing up to $1.25M

• 95% financing up to 1.5M

• Fixed and adjustable rates available

• Second Home Financing available up to 90% financing.

This program suits both residents and long-time doctors. It’s especially helpful for physicians transitioning to a new job, as it accepts employment contracts 90 days prior to start.

🔗 Related: Why Consider a Physician Loan from Alliant Credit Union

2. Liberty Federal Credit Union – Personalized Regional Support

Liberty Federal Credit Union is a regional lender with a strong footprint across Texas. It’s known for its hands-on service and physician-specific underwriting.

Program Highlights:

• Low credit score requirement of 680, plus free in-house credit repair

• MD, DO, DDS, DMD, Resident, Fellows, OD, DPM, Pharmacist

• We are committed to offering your lowest rate. If you find a lower rate, we’ll match it.

• No PMI and low origination fees

Liberty Federal Credit unions program is especially helpful in secondary Texas markets like College Station or Abilene where some national lenders are less active.ulf

3. Gulf Coastal Bank & Trust – Great High LTV JUMBO Options

Gulf Coastal Bank & Trust caters to financially established physicians who are ready for a high-value home purchase.

Why It Works:

• 100% to 1MM, 95% to 1.75MM and 90% to 2.5MM
• Premium White Coat Mortgage Rates
  
• Designed:  MD, DO, DDS, DMD, Resident, Fellows, DVM
  
• Streamlined approval with limited documentation & Flexible income calculations for self-employed

If you’re relocating to luxury suburbs near Austin, Dallas, or The Woodlands and want to upgrade, GCB&T provides serious buying power without the restrictions of jumbo conventional loans.

4. First Community Mortgage  – Best for Super Jumbo Options 

This lender is a favorite for early-career doctors thanks to its understanding of training timelines.

What Sets It Apart:

• Approves based on future employment contracts
• Accepts 2 unit homes 
• 10% down up to $2.5M
• Simple, predictable documentation process
• Gift funds are acceptable

Federal Savings Bank’s physician mortgage is built for flexibility. It’s one of the few options that consistently caters to doctors still in training.

 

5. Green State Mortgage –   Higher Debt to Income allowances & Better 1099 thresholds

Green State offers a well-rounded program with fast underwriting and flexible options for a wide range of medical professionals.

Advantages:

• Fixed rates an ARM options
• Accepts multiple healthcare designations: MD, DO, DDS, DMD, Resident, Fellows, PA, NP, DVM, OD, DPM, Pharmacist
• Competitive rates and strong customer service
• National presence with local Texas support

If you’re looking for a smooth, stress-free experience and value quick closings, Green State Mortgage is a smart pick.

 

Questions to Ask Before Choosing a Lender

To help narrow your options, consider:

• What’s your timeline for staying in the new home?
• How long do you see yourself in your new/current position??
• What is a comfortable monthly payment??
• Do you want to keep liquidity for other goals?
• Do you need flexibility on DTI due to student loans or is credit a concern?

Also, check whether the lender is included in our complete doctor mortgage lending guide to ensure you’re comparing the best of the best.

FAQs About Physician Mortgages in Texas

Can I use a physician loan to buy a second home?
Most physician loan programs are designed for primary residences. Some allow second homes or vacation properties with more restrictions.

Do I need to wait until my residency is complete to qualify?
No—many lenders accept a signed employment contract and will approve your loan up to 90 days before you begin working.

What if I have large student loans?
Many lenders factor in your actual monthly payment, not your total balance. Those using income-driven repayment plans often benefit here.

Is PMI ever included?
One of the biggest benefits of a physician mortgage is no PMI, even with less than 20% down.

Final Thoughts

Physician mortgages are more than just low-down-payment options—they’re tailored tools that align with the financial realities of doctors at every stage. If you’re planning to buy a home in Texas this year, one of these five lenders can help you achieve homeownership on your terms.

Explore additional insights in our article on everything you need to know about doctor mortgage loans and reach out to compare personalized offers from lenders that understand your profession.