Well a lot of people in "red states" are able to get services from Planned Parenthood, if you still have these. Is this an endo with any kind of experience with trans patients? I was unable to tell that from the post. There are a LOT fo endos who really don't do this kind of thing at all, even in huge cities. If you are not far from Dallas you might end up having to go to Dallas. Dallas has a large trans population. Once you are on the T, it's not like you are going to be going back and forth that much, so I know people do this. If you need someone in Dallas, that's easier. I don't personally but I am sure people here do.
--Jay