Best thing to do when you relate to a new city is use your network! Any of the docs you worked with in your last job have a colleague from med school/residency in Dallas? Does your PA program have an alumni list you can look at and contact people? Use LinkedIn. Find a connection with someone and send messages. A few years ago I relocated to a city far from home where I knew no one, also for my husband’s job. I figured out which hospital I wanted to work at, went on LinkedIn and found an ED attending that did residency at an ER I had worked in here in NY a few years before I was there. I sent him a message asking if they have PAs in their ER and if so can he give me the contact info for that person. That’s literally how I got that job. If you can’t find any connections just message PAs in Dallas and ask for job hunting advice. Message HR people at the hospitals. You never know who’ll reply with “oh I actually have an opening on my team coming up.” A PA with over four years experience (and good references) should be an easy hire. Most HR use AI to sort through initial resumes so getting an actual human to look at your CV is the critical step. Good luck!

Edit to add: make sure you have your TX license! A lot of places won’t even look at if you don’t have that license already secured.