Avoid Dallas at all costs. It is a generally awful place filled with generally awful people. Dallas is where the negative stereotype of Texas comes from, and it's not at all inaccurate there. I can't recommend anything encircled by 635/20/183. Fucking stay away. Fort Worth is okay. It's kind of a wanna-be Austin (for better and worse), and arguably its best quality is that it's not Dallas. The same could be said for Plano, Frisco, McKinney, et al. Plano has actually come a long way and is carving out kind of a Houston-y vibe. If you're actually into the "country" areas, you might take a look at Cleburne. It's still pretty rural, literally and culturally.
You're not wrong about Austin becoming California. I grew up here, so it's been especially painful to watch. I still know some spots that haven't been ruined yet, but yeah, this place gets worse by the day. There used to be some amazing culture/nightlife here, but it's rapidly eroding into this homogenized, pretentious collection of agreed-upon "hotspots" that are only enjoyable on paper, because trying to get around and do anything is a fucking nightmare now. The traffic system is decades behind, parking is nonexistent, homeless people are everywhere, everything is overcrowded, etc. Food is great here, but that's about it.
I actually like Houston for the most part. I appreciate that most people there actually seem to give a fuck. Food there is awesome, it's more cultured than you think, and there's something for nearly everyone. It's surrounded by some suburb-ass suburbs, for better and worse. Traffic is mostly shitty, but at least Houston has the excuse of there being a fuckton of people there. Summer in Houston does suck ass because of the humidity, though. Still, I could live in Houston. There are some nice areas, and it's got enough going on to where I could be happy there.
San Antonio is decent enough to where I could be there as well. Actually, I'd probably live in New Braunfels or Boerne and commute in that situation, because that part of the state is rad. San Antonio proper has some good food/culture, and it's close enough to Austin to day-trip there or to the hill country every once in a while. The traffic system there actually works, too, so that's a nice bonus. The riverwalk is fairly overrated. Charles Barkley's ill-received (and hilarious, IMO) comments about it being a dirty creek weren't off base (and the same goes for him pointing out the "big women", FWIW.) SA is fine overall, though.
Texas is mostly pretty great. I've spent time in most parts of the state at this point, and Dallas and way East Texas are the only parts of it I don't like. Even East Texas has at least one redeeming quality in being a really pretty geographical area, but the people there are often trashy/racist. Whatever you do, just avoid Dallas. It's the worst. The "nice" parts of Dallas are incredibly snotty, the middle-class areas are filled with a bunch of 30k millionaires (read: douchebags up to their eyeballs in debt who drive a BMW desperately wanting everyone to think they're a "baller" in a pathetically insecure show) and the not-nice parts are really not-nice.
Let me know if you have any other questions. You should be fine finding work, and your wife especially should have little trouble in the medical field. In Fort Worth alone, there's Cook Children's, TCOM, JPS, and a ton of branch offices from Dallas/North Texas-based large medical groups. Also, pro tip re: boots/cowboy hat, here in Texas it's attire that is worn by one of two types of people: actual cowboys/ranchers or tourists/posers. Unless you plan on being the former, don't be the latter. I'm not saying you can't wear that stuff occasionally when appropriate (read: country music show/rodeo/dancehall), but it's largely frowned upon elsewhere unless you're the real deal, and wearing garb to play a role is a Dallas-ass thing to do that you do not want to emulate.
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