Patients come from Groesbeck, Mexia, Thornton, Kosse, Coolidge and Tehuacana, and from Marlin, Mart, Hubbard, Wortham, Teague, Fairfield, Jewett, Marquez and Buffalo in the surrounding counties.
Your local office
Near the Limestone County
625 McClintic DrRefer a patient · fax (713) 000-0001
Getting here
| Monday | 8:00 AM – 5:30 PM |
| Tuesday | 8:00 AM – 5:30 PM |
| Wednesday | 8:00 AM – 5:30 PM |
| Thursday | 8:00 AM – 5:30 PM |
| Friday | 8:00 AM – 5:30 PM |
| Saturday | Closed |
| Sunday | Closed |
Heat & dehydration risk
Impaired temperature regulation and common medications (diuretics, ACE inhibitors, ARBs) raise the risk of dehydration and acute kidney injury in hot weather.
Prescribed a fluid limit? Don’t increase your fluid intake automatically — follow the individualized guidance from your clinician, and ask how heat changes your limit.
Book a Nephrology visitMeet your nephrologist
Nephrologist · Limestone County — Groesbeck
Dr. Uday Khosla is a board-certified nephrologist and hypertension specialist treating chronic kidney disease, dialysis, and complex hypertension in the Houston area. He cares for patients across four locations, includin…
Book with Dr. Khosla4.9from 25 Google reviews at the Groesbeck office
4.9 from 277 reviews for Dr. Khosla across all Remix Medical locations
“Dr. Khosla is an excellent doctor. He is quick to answer your questions. He explains things to you and listens to your concerns. He is easy to talk…”
“Again, Dr Khosla took time to answer my questions and make recommendations for my issues. He is very approachable and easy to talk to. He also made…”
What we treat
Common reasons to schedule include new symptoms, abnormal labs, uncontrolled chronic conditions, and second opinions on complex cases. Tap a category to see the full list.
Why patients choose us
Independent, board-certified nephrology & hypertension — the same physician every visit. No hospital committee, no rotating residents.
Remix Medical is physician-owned and not affiliated with any hospital system or private equity group. Your care plan is set by your doctor, not a committee.
Groesbeck sits at the junction of Highway 14 and Highway 164, and for most of Limestone County the nearest alternative nephrology is 40 miles west in Waco or 35 miles north in Corsicana. Seeing a kidney specialist here means a follow-up is an hour of your day, not most of it.
New patients are usually seen within one to two weeks, with same-day slots often available for urgent kidney or blood-pressure concerns — so you are not waiting weeks to be seen.
Community health data
Chronic kidney disease usually begins with high blood pressure or diabetes, and it can progress for years without symptoms. These are population-level estimates for Groesbeck TX, Limestone County, Mexia and Thornton — they describe a community, not any individual patient.
High blood pressure
41.6%
About 19,000 adults across the area we serve
A major cause and consequence of chronic kidney disease.
Diagnosed diabetes
15.9%
About 7,400 adults across the area we serve
The single largest cause of kidney failure.
| Health indicator | Local estimate | Relative prevalence | Est. adults | Why it matters for your kidneys |
|---|---|---|---|---|
| High blood pressure | 41.6% | ~19,000 | A major cause and consequence of chronic kidney disease. | |
| Diagnosed diabetes | 15.9% | ~7,400 | The single largest cause of kidney failure. | |
| Obesity | 39.7% | ~18,000 | Raises the risk of diabetes, hypertension, and CKD. | |
| No regular exercise | 32.6% | ~15,000 | Contributes to the metabolic risks that damage kidneys. | |
| Short sleep | 40.1% | ~19,000 | Associated with high blood pressure and metabolic strain. | |
| Current smoking | 17.3% | ~8,100 | Accelerates kidney damage and cardiovascular risk. |
Kidney disease is usually silent. If you have high blood pressure or diabetes, a kidney check is two tests — a blood test that estimates filtration (eGFR) and a urine test for albumin. Ask your clinician whether they belong in your next round of labs, or ask about a kidney check in Groesbeck.
Source: CDC PLACES, 2025 release — model-based local estimates for ZIP codes 75831, 75838, 75840, 75846, 75860, 76635, 76642, 76648, 76653, 76661, 76664, 76667, 76686, 76687, 76693, 77865, population-weighted across about 46,600 adults. Figures reflect BRFSS 2022–2023, varying by measure. Bars are scaled to 40%. These are population estimates, not case counts, and they do not diagnose disease or determine whether anyone needs kidney care.
Local care details
Central Texas weather cuts differently than the coast — the risks here are winter ice, spring tornadoes and rural power outages that can last days. If you have CKD and are not yet on dialysis, keep an up-to-date medication list and your most recent labs somewhere you can grab quickly, keep enough blood-pressure medication on hand to cover several days if the roads close or the pharmacy in town cannot open, and know your warning signs (new swelling, shortness of breath, a sharp drop in urination) and who to call if you cannot reach the office. Patients already on dialysis should confirm their unit's severe-weather plan before a storm rather than after — a missed session carries more risk than a delayed office visit, and rural travel is the first thing ice takes away.
Most kidney care runs on lab work, and in a rural county the practical question is where you can have blood drawn without a long drive. Here the answer is a short walk: the hospital lab at Limestone Medical Center sits on the same campus as the clinic, so labs and your visit can happen in one trip rather than two. Results reaching Dr. Khosla before your appointment is what matters — decisions get made on current numbers instead of repeated tests — and imaging done locally, such as a kidney ultrasound, can usually be reviewed rather than redone.
There is no dialysis unit in Limestone County. If treatment ever becomes necessary it means traveling, and for most patients here that is a 35 to 40 mile drive each way, three times a week, to Waco or Corsicana. That is exactly why kidney care matters earlier in a rural county than it does in a city: every year of slowed decline is a year of not making that trip. For most patients seen early, the work is the opposite of preparing for dialysis — it is protecting the kidney function you still have, controlling the blood pressure and diabetes driving the damage, and keeping dialysis a distant possibility rather than a near-term plan. Where a transplant evaluation is appropriate, that conversation can start here rather than after treatment has already begun.
Cost & insurance
In-network with most major commercial plans, Medicare, Medicare Advantage, and Texas Medicaid. Don’t see your plan? Our benefits team can verify coverage on the spot — most calls take under a minute.
Frequently asked
From Mexia, the drive is about 15 minutes south on Highway 14 to 625 McClintic Drive, on the same street as Limestone Medical Center. From Marlin, take Highway 164 east — roughly 30 minutes, and comparable to driving into Waco. From Wortham it is about 15 minutes and from Teague about 25 minutes on Highway 14. From Fairfield, allow 35-40 minutes west on Highway 84 and Highway 14. From Mart or Hubbard, connect through Mexia on Highway 171.
Learn more
Book online in under a minute, or call the office during clinic hours. Most new patients are seen within one to two weeks; same-day or same-week visits may be available for urgent kidney concerns.
Updated May 9, 2026. Medically reviewed by Uday Khosla, MD.
