When a patient in Houston needs a new primary care doctor, the first thing they do is search online. When a family in Frisco is looking for a pediatrician, they pull up Google before they ask a neighbor. When someone in San Antonio is dealing with back pain and needs an orthopedic specialist, they are reading websites and making judgments long before they ever pick up the phone. That is the reality Texas medical practices face in 2026 — and it means the quality of a practice'