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Can I Choose My Own Doctor After a Texas Accident? Your Rights Explain
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Houston Personal Injury Lawyers

Can I Choose My Own Doctor After a Texas Accident? Your Rights Explain

Injured in a Texas accident? You have the right to choose your own doctor. Attorney911 explains your options, Letters of Protection, and how medical care impact

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The Critical Choice After a Texas Accident: Your Right to Control Your Medical Care

If you’ve been injured in a car accident, truck crash, or any incident caused by someone else’s negligence in Texas, the immediate aftermath is a whirlwind of pain, confusion, and pressing decisions. One of the most common and urgent questions we hear at Attorney911 is: “Do I have to see the doctor my lawyer recommends, or can I choose my own?” This question strikes at the heart of your autonomy during a vulnerable time. As Attorney Ralph Manginello explains in our Attorney 911 Podcast, the answer is unequivocally empowering: You have the absolute right to choose your own medical care. Your lawyer works for you, not the other way around. At our Houston-based firm, with over 25 years of experience handling catastrophic injury cases across Texas, we believe an informed client is an empowered client. This comprehensive guide will explain your rights, the realities of medical treatment in a personal injury case, and why having a former insurance defense attorney on your side—like our own Lupe Peña—can make all the difference in securing the full compensation you need to heal. If you’re facing this decision right now, call our legal emergency line at 1-888-ATTY-911 for immediate, clear guidance.

Your Fundamental Right to Choose Your Doctor in Texas

Let’s be perfectly clear: You are never legally obligated to see a doctor recommended by your attorney. This is a fundamental principle of the attorney-client relationship and your personal autonomy. As Ralph Manginello states, if you’re injured due to someone else’s negligence, you can absolutely seek treatment on your own. This means utilizing your existing health insurance, visiting your Primary Care Physician (PCP), going to an urgent care clinic, or following referrals to specialists you know and trust. Whether you’re in Houston, Austin, Beaumont, or anywhere in Texas, your medical choices are yours to make.

Why This Right Is So Important

Your relationship with your doctor is built on trust and continuity of care. Forcing a change in that relationship after a traumatic event can add unnecessary stress and potentially disrupt effective treatment. Texas law recognizes the importance of this relationship. Furthermore, the medical records generated by your treating physicians become the cornerstone of your personal injury claim. These records must accurately reflect your pain, limitations, diagnosis, prognosis, and the causal connection to the accident. Having a doctor who knows your history and whom you trust to document your injuries thoroughly is invaluable. We’ve seen too many cases where a client felt pressured into a medical relationship that didn’t feel right, leading to gaps in treatment or inadequate documentation that insurance companies later exploited to devalue the claim.

The Practical Path: Using Your Own Health Insurance and Network

If you have health insurance—whether through an employer, a marketplace plan, or a government program like Medicare—you should use it immediately following an accident. Go to your PCP or a trusted in-network urgent care facility. As Ralph notes, if you’re in a PPO and your doctor recommends a highly-regarded specialist within that network, that’s an excellent path to follow. The goal is to begin a documented chain of medical care that establishes the severity and cause of your injuries. At Attorney911, we guide our clients through this process, helping them understand what to communicate to their doctors to ensure the medical records support a strong legal claim. Remember, even with health insurance, you may face co-pays, deductibles, and treatment limits. We can explain how these out-of-pocket costs become part of your recoverable damages in a Texas personal injury case.

When and Why a Texas Personal Injury Lawyer Might Recommend a Doctor

Given your fundamental right to choose, why do lawyers like us at Attorney911 ever suggest specific doctors or medical providers? As Ralph Manginello outlines, it’s almost always driven by the client’s immediate, practical needs, not by any hidden agenda or “kickback” scheme (which is both unethical and illegal). Our role as your Legal Emergency Lawyers™ is to remove barriers to your recovery, and for many Texans, the biggest barrier is financial.

The Financial Reality: No Insurance, No Money, No Treatment

Texas has one of the highest uninsured rates in the nation. When a catastrophic injury strikes—a traumatic brain injury, spinal cord damage, or multiple fractures—the victim often cannot work. Without income and without health insurance, paying for an MRI that costs thousands of dollars or surgery that costs tens of thousands is impossible. This is where a reputable Texas personal injury firm steps in. As Ralph says, “We do this all the time. They’re severely injured and they say, ‘I don’t have any money. I don’t have any health insurance. I can’t afford to go to a doctor.'” In these critical situations, we connect clients with a network of vetted medical specialists who agree to provide treatment based on a Letter of Protection (LOP).

What Is a Letter of Protection? A Lifeline for the Uninsured

A Letter of Protection is a legal document in which your attorney guarantees payment of your medical bills from the eventual settlement or verdict in your case. It is not a “loan” or a line of credit; it is a promise to pay the provider from the case proceeds. This allows you to receive necessary, often life-changing medical care—surgery, physical therapy, pain management—without any upfront cost. We only work with doctors we have thoroughly vetted for their expertise, credibility, and willingness to work within this framework. For example, in a recent multi-million dollar settlement for a client who suffered a leg amputation after a car accident, critical surgeries and infections treatments were secured via letters of protection when the client had exhausted all other options. This system exists because, under Texas law, the at-fault party’s insurance company is not required to pay your medical bills as they accrue; they only pay a lump sum at the resolution of the claim. The LOP bridges this dangerous gap in care.

The Knowledge Gap: “I Just Don’t Know What to Do”

Another common reason clients seek our guidance is pure confusion. As Ralph puts it, “A lot of people get in a collision and they’re like, ‘Do I need to see a special doctor or do I need to just go to my regular doctor where I caught a cold?'” The answer depends entirely on your injury. A strained muscle might be adequately treated by a PCP, but a herniated disc, a torn rotator cuff, or a concussion with cognitive symptoms requires a specialist—an orthopedist, neurologist, or neuropsychologist. Most people don’t know which specialist is right, how to find a reputable one, or what diagnostic tests (like specific types of MRIs or nerve conduction studies) are necessary. With 25+ years of handling cases across Texas, from Houston to the Golden Triangle, we have the experience to guide you to the appropriate level of care for your specific injury. This isn’t about control; it’s about leveraging our experience for your benefit.

The Attorney911 Difference: How We Approach Your Medical Care

At Attorney911, led by Ralph Manginello, our philosophy is client-centered and transparent. We don’t operate like settlement mills that churn cases through a single clinic to maximize their own relationships. We treat you like family, because in a legal emergency, you need advocates who genuinely care. Our approach is defined by three core principles that set us apart from other Texas personal injury firms.

1. We Provide Options, Not Mandates

From your very first call to 1-888-ATTY-911, we empower you with information. If you have a trusted medical team and insurance, we encourage you to use them. We’ll simply advise you on how to ensure your treatment is properly documented for your claim. If you lack resources, we present our vetted network as an option, explaining the Letter of Protection process in detail, including its benefits and potential implications. The choice is always yours. As client Ambur Hamilton shared, “I never felt like ‘just another case’ they were working on.” This personal attention is why we have a 4.9-star rating from over 251 Google reviews.

2. Our Medical Network is Built on Quality, Not Convenience

The doctors we work with are chosen for their reputations, board certifications, and experience in treating accident-related injuries and testifying in court if necessary. Insurance companies and their defense attorneys will scrutinize your treating physicians. If they perceive your doctor as a “plaintiff’s mill” doctor who always finds the same injuries, they will attack their credibility and devalue your claim. We avoid this by connecting clients with respected specialists in the Houston medical community and beyond. Their objective diagnoses and thorough documentation are far more powerful. This strategy was crucial in our multi-million dollar settlement for a logging accident brain injury victim, where complex medical testimony was required to prove vision loss and cognitive deficits.

3. Lupe Peña’s Insurance Defense Experience is Your Secret Weapon

This is perhaps our firm’s most significant advantage. Associate Attorney Lupe Peña spent years working at a national defense firm, learning firsthand how large insurance companies evaluate claims and attack medical treatment. He knows their playbook because he used to run it. Lupe understands which medical records adjusters scrutinize, how they use “Independent” Medical Exams (IMEs) to minimize injuries, and what documentation is needed to justify specialized or long-term care. He has reviewed hundreds of surveillance videos and social media posts as a defense attorney and knows how insurers take innocent activity out of context. With Lupe on your side, we anticipate and neutralize these tactics before they can undermine your claim. As client Chelsea Martinez said of Lupe, “Special thank you to my attorney, Mr. Pena, for your kindness and patience with my repeated questions.”

The High Stakes: How Medical Treatment Directly Impacts Your Texas Injury Claim

Understanding the legal importance of your medical journey is critical. In Texas, the value of your personal injury case is not determined by the severity of the accident, but by the severity of your documented injuries and their impact on your life. Insurance companies use sophisticated software like Colossus to assign a value to your claim, and the single largest input is your medical treatment.

The “Gap in Treatment” Trap

One of the most common ways insurance adjusters reduce settlement offers is by pointing to gaps in your medical treatment. If you wait weeks between doctor visits, or stop physical therapy prematurely, they will argue your injuries were not as serious as you claim. Whether you choose your own doctor or one we recommend, consistent treatment following your physician’s plan is essential. We help our clients understand this and navigate logistical challenges, like transportation issues Ralph mentioned, to maintain continuity of care.

Future Medical Needs and Life Care Plans

For catastrophic injuries—like the back injury our maritime client suffered or the amputation case we resolved—your claim must account for future medical costs. This may include future surgeries, medication, assistive devices, home modifications, and lifelong therapy. We work with medical economists and life care planners to project these costs, which are only possible with detailed, credible medical records from specialists who understand long-term prognoses. Securing this future care is often the most important part of a settlement, ensuring you are not left destitute by ongoing medical bills years down the road.

The Battle Over Causation

The at-fault party’s insurance company will always look for ways to argue that your injuries were pre-existing or caused by something other than their insured’s negligence. A doctor who has treated you for years can provide powerful testimony that a new back herniation is directly related to the traumatic force of a rear-end collision, for instance. This is a strong reason to continue with your own physician. Conversely, if you have no prior doctor, a specialist we connect you with will perform a comprehensive evaluation to establish that baseline and definitively link your injuries to the accident.

Real Results: How Our Approach to Medical Care Has Secured Millions for Texans

Our commitment to proper medical management is not theoretical; it is proven in the results we achieve for our clients. Ralph Manginello’s leadership and our team’s relentless advocacy have recovered multi-million dollar settlements and verdicts for injured Texans. Here are just a few examples where strategic medical handling was key:

  • Logging Brain Injury: “Multi-million dollar settlement for client who suffered brain injury with vision loss when log dropped on him at logging company.” This case required coordinating with neurologists, ophthalmologists, and vocational experts to document the profound and permanent life changes.
  • Car Accident Amputation: “In a recent case, our client’s leg was injured in a car accident. Staff infections during treatment led to a partial amputation. This case settled in the millions.” Managing the complex chain of care—from emergency room to infection specialist to amputation surgeon—was critical to proving the full extent of damages.
  • Maritime Back Injury: “In a recent case, our client injured his back while lifting cargo on a ship. Our investigation revealed that he should have been assisted in this duty, and we were able to reach a significant cash settlement.” We connected this client with the right orthopedic spine specialist to document the injury and need for future care under maritime law.

Our litigation prowess extends to the federal level, where Ralph is admitted to the U.S. District Court for the Southern District of Texas. We were one of the few firms involved in the BP Texas City explosion litigation, taking on a billion-dollar corporation. This experience in complex, high-stakes cases informs every claim we handle, ensuring we are prepared to fight for you at any level. We are currently litigating a $10 million lawsuit against the University of Houston and Pi Kappa Phi fraternity, demonstrating our willingness to take on major institutions.

Your Immediate Action Plan After a Texas Accident

If you’re reading this while recovering from an accident, here is your step-by-step guide, synthesizing Ralph Manginello’s advice and our firm’s expertise:

  1. Seek Medical Attention Immediately: Your health is paramount. Go to the ER, an urgent care, or your PCP. Do not downplay your symptoms. Describe everything you feel, even if it seems minor. Adrenaline can mask pain for hours or days.
  2. Use Your Insurance if You Have It: Start the paper trail with your own providers. Follow their referrals for specialists, MRIs, and therapy.
  3. Consult a Reputable Texas Personal Injury Attorney Early: Before you give any recorded statement to the other driver’s insurance company, call us at 1-888-ATTY-911. We will protect your rights and advise you on the medical and legal process. Remember, the insurance adjuster is not your friend; they are building a case to minimize what they pay you.
  4. Discuss Your Medical Care Options Openly with Your Lawyer: Be honest about your financial situation, insurance status, and concerns. A good lawyer will listen and provide clear options, not pressure you.
  5. Follow Your Treatment Plan Consistently: Attend all appointments, complete prescribed therapy, and keep a personal journal of your pain and limitations. This documentation is invaluable.

Frequently Asked Questions: Your Medical Care and Legal Rights

1. Do I have to see a doctor my lawyer chooses?

No. You have the absolute right to choose your own doctor. Your attorney’s role is to advise and assist, especially if you lack health insurance or resources. The choice of treating physician is always yours.

2. What if I don’t have health insurance and can’t afford a doctor?

This is a common and serious problem. At Attorney911, we can connect you with excellent doctors who will treat you on a Letter of Protection. This means they provide necessary care now, and we guarantee payment from your eventual settlement or verdict. You pay nothing upfront. This system allows you to heal without financial ruin.

3. Will using my own health insurance hurt my case?

No, using your insurance is often the best course. It shows you are responsibly mitigating your damages. However, your insurance company may have a right of subrogation (reimbursement) for what they pay from your settlement. We handle these complex negotiations for you to ensure you are left with the maximum possible recovery.

4. What is an “IME” and should I be worried?

An “Independent” Medical Exam is usually neither independent nor a comprehensive exam. It is an evaluation by a doctor hired by the defense insurance company to provide an opinion that minimizes your injuries. With Lupe Peña’s insider experience, we know how these exams are set up and we prepare our clients thoroughly beforehand to protect their rights and ensure the exam is fair and accurate.

5. How long do I have to get medical treatment after an accident in Texas?

You should seek treatment immediately. Delays give the insurance company ammunition to argue your injuries aren’t serious or weren’t caused by the accident. Furthermore, Texas has a two-year statute of limitations for filing a personal injury lawsuit (Texas Civil Practice & Remedies Code § 16.003). Your medical treatment timeline is a critical part of building your case within this legal deadline.

6. What makes Attorney911 different from other firms on medical issues?

Three key things: 1) Ralph Manginello’s 25+ years of experience and federal court litigation background. 2) Lupe Peña’s insider knowledge from working for insurance defense firms—he knows exactly how they challenge medical treatment. 3) Our client-first philosophy. We don’t force you into a medical pipeline. We provide options, guidance, and the resources to get you the best care possible, which leads to the best case outcome. As client Glenda Walker said, “They make you feel like family… They fought for me to get every dime I deserved.”

You Don’t Have to Navigate This Alone: Call Texas’s Legal Emergency Lawyers™

The intersection of medical care and legal strategy after an accident is complex, but you don’t have to figure it out alone. At Attorney911, we blend the deep Houston roots and courtroom authority of Ralph Manginello with the insurance industry insider knowledge of Lupe Peña to create an unparalleled advantage for our clients. Whether you choose your own doctor or need our help accessing care through a Letter of Protection, we will be with you every step of the way, fighting to secure the compensation you need for medical bills, lost wages, pain and suffering, and future care.

If you or a loved one has been injured in a car accident, truck crash, workplace incident, or any event caused by negligence in Houston, Austin, Beaumont, or anywhere in Texas, time is of the essence. Evidence disappears, memories fade, and the insurance company is already building its case. Take control of your recovery today. Call our emergency legal line for a free, no-obligation consultation. We don’t get paid unless we win your case. Call 1-888-ATTY-911 now. Let us help you heal, both physically and financially.

Frequently Asked Questions

Do I have to see a doctor my lawyer chooses after an accident?

No, you have the absolute right to choose your own doctor. Your attorney’s role is to advise and assist, especially if you lack health insurance or resources. At Attorney911, we empower you with options and information, never mandates.

What if I can’t afford a doctor after my Texas accident?

If you lack health insurance and funds, Attorney911 can connect you with vetted specialists who treat on a Letter of Protection. This means they provide care now, and we guarantee payment from your settlement. You pay nothing upfront for critical treatment.

Will using my own health insurance hurt my personal injury case?

No, using your insurance is often advisable. It shows you are mitigating damages. However, your insurer may seek reimbursement from your settlement. Our attorneys handle these complex subrogation negotiations to maximize your net recovery.

What is an ‘Independent’ Medical Exam (IME) and should I agree to one?

An IME is typically an exam by a doctor hired by the defense insurance company to downplay your injuries. With former defense attorney Lupe Peña on our team, we know their tactics and will thoroughly prepare you to protect your rights during any IME.

How does my choice of doctor affect the value of my Texas injury claim?

Your medical records are the foundation of your claim. Consistent treatment from credible, well-documented doctors establishes the severity, causation, and future impact of your injuries. Gaps in treatment or using doctors insurers view as biased can significantly reduce your settlement.

What makes Attorney911’s approach to medical care different?

We combine Ralph Manginello’s 25+ years of trial experience with Lupe Peña’s insider knowledge from working for insurance defense firms. We don’t force you into a medical pipeline. We provide transparent options and leverage our network of respected specialists to build the strongest possible case for maximum compensation.

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Frequently Asked Questions

COMMON QUESTIONS

Your consultation is 100% FREE with no obligation. When you call 1-888-ATTY-911, you'll speak with our team — not an answering service. Managing Partner Ralph Manginello (25+ years experience, Texas Bar since 1998) personally reviews cases. With 251+ Google reviews and a 4.9-star rating, we've built our reputation on giving real answers, not sales pitches. Call anytime — we answer 24/7 because legal emergencies don't wait.

You pay nothing unless we win. We work on contingency: 33.33% before trial, 40% if your case goes to trial. We front ALL costs — medical records, expert witnesses, court fees, everything. As one client (Donald Wilcox) said: "One company said they would not accept my case. Then I got a call from Manginello... I got a call to come pick up this handsome check." We've recovered multi-million dollar settlements for brain injuries, amputations, and wrongful death cases. Your fight is our fight.

Timelines vary, but we move fast. Client Tymesha Galloway: "Leonor got my case resolved within 6 months." Chavodrian Miles: "Leonor got me into the doctor the same day... it only took 6 months, amazing." Complex cases like our $10 million hazing lawsuit against the University of Houston take longer. Ralph Manginello has 25+ years of experience knowing when to push and when to build. We'll give you an honest timeline upfront and keep you informed every step — our clients consistently praise our communication.

We come to YOU. Hospital visits, home visits, video calls — whatever works. Client Stephanie Hernandez: "When I felt I had no hope or direction, Leonor reached out to me... She took all the weight of my worries off my shoulders." With offices in Houston, Austin, and Beaumont, plus virtual consultations statewide, distance is never a barrier. Seriously injured clients often can't travel — we understand. Ralph Manginello personally reaches out to clients who need it.

Sí, hablamos español. Attorney Lupe Peña is completely fluent in Spanish and conducts full consultations in Spanish. Our bilingual staff members — including Zulema, who clients specifically praise for her kindness and translation skills — ensure nothing gets lost. Client Celia Dominguez: "Especially Miss Zulema, who is always very kind and always translates." Client Angel Walle: "They solved in a couple of months what others did nothing about in two years." La comunidad hispana de Houston merece representación de primera clase.

We serve all of Texas from three office locations:

Houston (Primary): Harris, Montgomery, Fort Bend, Brazoria, Galveston Counties
Austin: Travis, Williamson, Hays, Bastrop Counties
Beaumont: Jefferson, Orange, Hardin Counties (Golden Triangle)

Ralph Manginello is admitted to U.S. Federal Court (Southern District of Texas) and the New York State Bar, handling cases that cross state lines. We've litigated against major corporations including BP in the Texas City explosion case.

We know how insurance companies think — because we used to work for them. Attorney Lupe Peña spent years at a national insurance defense firm learning exactly how they undervalue claims. Now he fights FOR you with that insider knowledge.

Our track record speaks: Multi-million dollar settlements for brain injuries, amputations, maritime injuries, and wrongful death. We're one of the few Texas firms involved in BP explosion litigation. Ralph Manginello has been inducted into the Cheshire Academy Hall of Fame and has 25+ years of courtroom experience. Client Chad Harris said it best: "You are NOT just some client... You are FAMILY to them."

Personal Injury: Car accidents, 18-wheeler/truck accidents, motorcycle accidents, pedestrian accidents, rideshare (Uber/Lyft) accidents, hit & run, drunk driving accidents, maritime/offshore injuries (Jones Act), construction accidents, refinery accidents, workers' compensation, wrongful death, product liability, and fraternity/sorority hazing cases (currently litigating a $10M case against University of Houston).

Criminal Defense: DUI/DWI defense, drug charges, and general criminal defense. We've had DWI cases dismissed by exposing improperly maintained breathalyzers and missing evidence.

People Are Talking...

"

Ralph Manginello is indeed the best attorney I ever had. He cares greatly about his results.

- AMAZIAH A.T
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Mr. Manginello guided me through the whole process with great expertise... tenacious, accessible, and determined throughout the 19 months.

- Jamin Marroquin
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Consistent communication and not one time did I call and not get a clear answer... Ralph reached out personally.

- Dame Haskett
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Leonor got me into the doctor the same day... it only took 6 months amazing.

- Chavodrian Miles
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Leonor is the best!!! She was able to assist me with my case within 6 months.

- Tymesha Galloway
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I was rear-ended and the team got right to work... I also got a very nice settlement.

- MONGO SLADE
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One company said they would not accept my case. Then I got a call from Manginello... I got a call to come pick up this handsome check.

- Donald Wilcox
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You are NOT a pest to them and you are NOT just some client... You are FAMILY to them.

- Chad Harris
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They make you feel like family and even though the process may take some time, they make it feel like a breeze. They fought for me to get every dime I deserved.

- Glenda Walker
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Mr. Maginello and his firm are first class. Will fight tooth and nail for you.

- Ernest Cano
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Ralph took his bogus case and had it dismissed within a WEEK! I have been trying for over 2 years.

- Beth Bonds
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In the beginning I had another attorney but he dropped my case although Mangiello law firm were able to help me out.

- Greg Garcia
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When I felt I had no hope or direction, Leonor reached out to me... She took all the weight of my worries off my shoulders.

- Stephanie Hernandez
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Melanie kept me informed and when she said she would call me back, she did. I got to speak with Ralph Manginello once and knew quickly the way his Firm was ran.

- Brian Butchee
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Especially Miss Zulema, who is always very kind and always translates.

- Celia Dominguez
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They solved in a couple of months what others did nothing about in two years.

- Angel Walle
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One of Houston's Great Men Trae Tha Truth has recommended this law firm. So if he is vouching for them then I know they do good work.

- Jacqueline Johnson
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PROVEN RESULTS. REAL RECOVERIES.

We've recovered millions for Texas families. Here are some of our victories.

Multi-Million
Personal Injury
Client suffered brain injury with vision loss when log dropped on him at logging company.
Multi-Million
Personal Injury
Client's leg was injured in a car accident. Staff infections during treatment led to a partial amputation.
Significant Settlement
Maritime
Client injured his back while lifting cargo on a ship. Investigation revealed he should have been assisted.
$10,000,000
Hazing Litigation
Active lawsuit against University of Houston and Pi Kappa Phi Fraternity. Harris County, November 2025.

YOUR LEGAL EMERGENCY TEAM.

Ralph Manginello - Houston Personal Injury Lawyer

RALPH MANGINELLO

Managing Partner
  • TX Bar 1998 (25+ yrs)
  • NY Bar, Federal Court (S.D. TX)
  • B.A. UT Austin, J.D. South TX
Lupe Peña - Houston Personal Injury Attorney

LUPE PEÑA

Associate Attorney
  • TX Bar 2012 (12+ yrs)
  • Former Insurance Defense Atty
  • FLUENT SPANISH

Ready to Fight for Your Rights?

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