How does your record for non-clinical community service support your narrative? How many hours were spent with food bank (responsibilities?) vss. tutoring/school volunteering? I would be more convinced had you done a gap year in Americorps or City Year (or something similar) where you can immerse yourself to an underserved community (that is not your own) without classes as distractions.
Do you have an iron-clad written assurance you'd be on the paper, or are you working as a data analyst contractor?
Your metrics should be good enough for TMDSAS (service orientation hours/activities pending), and the cost of attendance for Texas schools will be better than any OOS. The question is whether you feel you could get a scholarship so an OOS program could "match" IS Texas tuition. There's not enough for me to determine if you are a rock star to apply out of state, though I think having a few AMCAS schools might be good to explore.