Center for Health Statistics Texas County Numbers and Public Health Regions

Each of the 254 Texas counties has a county number (also known as a county ID) assigned sequentially in alphabetical order. This is not the order in which most computer programs and spreadsheets would sort counties by name. For example, Ellis County is numbered before El Paso, and the counties that start with "Mc" are numbered before all other counties that start with "M". If you sort a list of Texas counties by county name, the counties will not be in order by county number.

The county FIPS (Federal Information Processing Standards) code is assigned by the US Census Bureau. Texas has a state FIPS code of 48 so all Texas counties have a county FIPS code of 48xxx. The county FIPS code can be calculated from the Texas county number: FIPS_code = 48000 + (county_number * 2) - 1. Some state agencies in Texas employ practices different from the FIPS standard to order county statistics.

Many Texas county names have a variety of spellings. For this reason, you should avoid using the county name to match or join two tables of county data, particularly if they are from different sources. We recommend using the county number or FIPS code as the basis for the match or join. Do not assume that two tables with Texas county data that look like they are both in alphabetical order are actually arranged in the same order.

Each Texas county is assigned to one of 11 public health regions. However, for administrative purposes, there are 8 regional public health offices. Regions 2 and 3 are administered from a regional office in Arlington. Region 4 and the northern part of Region 5 are administered from a regional office in Tyler. Region 6 and the southern part of Region 5 are administered from a regional office in Houston. Regions 9 and 10 are administered from a regional office in El Paso. Of the counties in Region 5, three are in Region 5S: Hardin, Jefferson, and Orange. The rest of the Region 5 counties are in Region 5N.

Texas county numbers, FIPS codes, public health regions, and health service regions are given in the table below.
 

Public Health Regions

County
Number
County
Name
FIPS
Code
Public Health
Region
Health Service
Region
1 Anderson 48001 4 4/5N
2 Andrews 48003 9 9/10
3 Angelina 48005 5 4/5N
4 Aransas 48007 11 11
5 Archer 48009 2 2/3
6 Armstrong 48011 1 1
7 Atascosa 48013 8 8
8 Austin 48015 6 6/5S
9 Bailey 48017 1 1
10 Bandera 48019 8 8
11 Bastrop 48021 7 7
12 Baylor 48023 2 2/3
13 Bee 48025 11 11
14 Bell 48027 7 7
15 Bexar 48029 8 8
16 Blanco 48031 7 7
17 Borden 48033 1 1
18 Bosque 48035 7 7
19 Bowie 48037 4 4/5N
20 Brazoria 48039 6 6/5S
21 Brazos 48041 7 7
22 Brewster 48043 10 9/10
23 Briscoe 48045 1 1
24 Brooks 48047 11 11
25 Brown 48049 2 2/3
26 Burleson 48051 7 7
27 Burnet 48053 7 7
28 Caldwell 48055 7 7
29 Calhoun 48057 8 8
30 Callahan 48059 2 2/3
31 Cameron 48061 11 11
32 Camp 48063 4 4/5N
33 Carson 48065 1 1
34 Cass 48067 4 4/5N
35 Castro 48069 1 1
36 Chambers 48071 6 6/5S
37 Cherokee 48073 4 4/5N
38 Childress 48075 1 1
39 Clay 48077 2 2/3
40 Cochran 48079 1 1
41 Coke 48081 9 9/10
42 Coleman 48083 2 2/3
43 Collin 48085 3 2/3
44 Collingsworth 48087 1 1
45 Colorado 48089 6 6/5S
46 Comal 48091 8 8
47 Comanche 48093 2 2/3
48 Concho 48095 9 9/10
49 Cooke 48097 3 2/3
50 Coryell 48099 7 7
51 Cottle 48101 2 2/3
52 Crane 48103 9 9/10
53 Crockett 48105 9 9/10
54 Crosby 48107 1 1
55 Culberson 48109 10 9/10
56 Dallam 48111 1 1
57 Dallas 48113 3 2/3
58 Dawson 48115 1 1
59 Deaf Smith 48117 1 1
60 Delta 48119 4 4/5N
61 Denton 48121 3 2/3
62 DeWitt 48123 8 8
63 Dickens 48125 1 1
64 Dimmit 48127 8 8
65 Donley 48129 1 1
66 Duval 48131 11 11
67 Eastland 48133 2 2/3
68 Ector 48135 9 9/10
69 Edwards 48137 8 8
70 Ellis 48139 3 2/3
71 El Paso 48141 10 9/10
72 Erath 48143 3 2/3
73 Falls 48145 7 7
74 Fannin 48147 3 2/3
75 Fayette 48149 7 7
76 Fisher 48151 2 2/3
77 Floyd 48153 1 1
78 Foard 48155 2 2/3
79 Fort Bend 48157 6 6/5S
80 Franklin 48159 4 4/5N
81 Freestone 48161 7 7
82 Frio 48163 8 8
83 Gaines 48165 1 1
84 Galveston 48167 6 6/5S
85 Garza 48169 1 1
86 Gillespie 48171 8 8
87 Glasscock 48173 9 9/10
88 Goliad 48175 8 8
89 Gonzales 48177 8 8
90 Gray 48179 1 1
91 Grayson 48181 3 2/3
92 Gregg 48183 4 4/5N
93 Grimes 48185 7 7
94 Guadalupe 48187 8 8
95 Hale 48189 1 1
96 Hall 48191 1 1
97 Hamilton 48193 7 7
98 Hansford 48195 1 1
99 Hardeman 48197 2 2/3
100 Hardin 48199 5 6/5S
101 Harris 48201 6 6/5S
102 Harrison 48203 4 4/5N
103 Hartley 48205 1 1
104 Haskell 48207 2 2/3
105 Hays 48209 7 7
106 Hemphill 48211 1 1
107 Henderson 48213 4 4/5N
108 Hidalgo 48215 11 11
109 Hill 48217 7 7
110 Hockley 48219 1 1
111 Hood 48221 3 2/3
112 Hopkins 48223 4 4/5N
113 Houston 48225 5 4/5N
114 Howard 48227 9 9/10
115 Hudspeth 48229 10 9/10
116 Hunt 48231 3 2/3
117 Hutchinson 48233 1 1
118 Irion 48235 9 9/10
119 Jack 48237 2 2/3
120 Jackson 48239 8 8
121 Jasper 48241 5 4/5N
122 Jeff Davis 48243 10 9/10
123 Jefferson 48245 5 6/5S
124 Jim Hogg 48247 11 11
125 Jim Wells 48249 11 11
126 Johnson 48251 3 2/3
127 Jones 48253 2 2/3
128 Karnes 48255 8 8
129 Kaufman 48257 3 2/3
130 Kendall 48259 8 8
131 Kenedy 48261 11 11
132 Kent 48263 2 2/3
133 Kerr 48265 8 8
134 Kimble 48267 9 9/10
135 King 48269 1 1
136 Kinney 48271 8 8
137 Kleberg 48273 11 11
138 Knox 48275 2 2/3
139 Lamar 48277 4 4/5N
140 Lamb 48279 1 1
141 Lampasas 48281 7 7
142 La Salle 48283 8 8
143 Lavaca 48285 8 8
144 Lee 48287 7 7
145 Leon 48289 7 7
146 Liberty 48291 6 6/5S
147 Limestone 48293 7 7
148 Lipscomb 48295 1 1
149 Live Oak 48297 11 11
150 Llano 48299 7 7
151 Loving 48301 9 9/10
152 Lubbock 48303 1 1
153 Lynn 48305 1 1
154 McCulloch 48307 9 9/10
155 McLennan 48309 7 7
156 McMullen 48311 11 11
157 Madison 48313 7 7
158 Marion 48315 4 4/5N
159 Martin 48317 9 9/10
160 Mason 48319 9 9/10
161 Matagorda 48321 6 6/5S
162 Maverick 48323 8 8
163 Medina 48325 8 8
164 Menard 48327 9 9/10
165 Midland 48329 9 9/10
166 Milam 48331 7 7
167 Mills 48333 7 7
168 Mitchell 48335 2 2/3
169 Montague 48337 2 2/3
170 Montgomery 48339 6 6/5S
171 Moore 48341 1 1
172 Morris 48343 4 4/5N
173 Motley 48345 1 1
174 Nacogdoches 48347 5 4/5N
175 Navarro 48349 3 2/3
176 Newton 48351 5 4/5N
177 Nolan 48353 2 2/3
178 Nueces 48355 11 11
179 Ochiltree 48357 1 1
180 Oldham 48359 1 1
181 Orange 48361 5 6/5S
182 Palo Pinto 48363 3 2/3
183 Panola 48365 4 4/5N
184 Parker 48367 3 2/3
185 Parmer 48369 1 1
186 Pecos 48371 9 9/10
187 Polk 48373 5 4/5N
188 Potter 48375 1 1
189 Presidio 48377 10 9/10
190 Rains 48379 4 4/5N
191 Randall 48381 1 1
192 Reagan 48383 9 9/10
193 Real 48385 8 8
194 Red River 48387 4 4/5N
195 Reeves 48389 9 9/10
196 Refugio 48391 11 11
197 Roberts 48393 1 1
198 Robertson 48395 7 7
199 Rockwall 48397 3 2/3
200 Runnels 48399 2 2/3
201 Rusk 48401 4 4/5N
202 Sabine 48403 5 4/5N
203 San Augustine 48405 5 4/5N
204 San Jacinto 48407 5 4/5N
205 San Patricio 48409 11 11
206 San Saba 48411 7 7
207 Schleicher 48413 9 9/10
208 Scurry 48415 2 2/3
209 Shackelford 48417 2 2/3
210 Shelby 48419 5 4/5N
211 Sherman 48421 1 1
212 Smith 48423 4 4/5N
213 Somervell 48425 3 2/3
214 Starr 48427 11 11
215 Stephens 48429 2 2/3
216 Sterling 48431 9 9/10
217 Stonewall 48433 2 2/3
218 Sutton 48435 9 9/10
219 Swisher 48437 1 1
220 Tarrant 48439 3 2/3
221 Taylor 48441 2 2/3
222 Terrell 48443 9 9/10
223 Terry 48445 1 1
224 Throckmorton 48447 2 2/3
225 Titus 48449 4 4/5N
226 Tom Green 48451 9 9/10
227 Travis 48453 7 7
228 Trinity 48455 5 4/5N
229 Tyler 48457 5 4/5N
230 Upshur 48459 4 4/5N
231 Upton 48461 9 9/10
232 Uvalde 48463 8 8
233 Val Verde 48465 8 8
234 Van Zandt 48467 4 4/5N
235 Victoria 48469 8 8
236 Walker 48471 6 6/5S
237 Waller 48473 6 6/5S
238 Ward 48475 9 9/10
239 Washington 48477 7 7
240 Webb 48479 11 11
241 Wharton 48481 6 6/5S
242 Wheeler 48483 1 1
243 Wichita 48485 2 2/3
244 Wilbarger 48487 2 2/3
245 Willacy 48489 11 11
246 Williamson 48491 7 7
247 Wilson 48493 8 8
248 Winkler 48495 9 9/10
249 Wise 48497 3 2/3
250 Wood 48499 4 4/5N
251 Yoakum 48501 1 1
252 Young 48503 2 2/3
253 Zapata 48505 11 11
254 Zavala 48507 8 8
Texas Counties, Public Health Regions, and Administrative Regions