@rits....I live in Wisconsin and went to NJH in Denver 3 years ago for second opinion. I still have pulmonologist locally for the sleep apnea confirmed at NJH and routine bronchitis that occurs. I went thru the 10 day battery of tests at NJH and was told I did not require NTM medications ( which local ID Dr was ready to start]. I went back once a year to NJH for follow up....usually takes half a day....last year was told next appt in 18 months. I would check out weather in Texas.....all 3 times in January I had blizzards and ice on roads in Denver. You would have advantage that Dr McShane knows you and your clinical situation. Another thought I have....navigating the physical building in Texas....I was from Chicago and visited near the Un of Chicago Hospitals....if you navigated that.....you can navigate ANYWhere....Terri from @tdrell