KWs in content

I am working on ranking a KW for a client and it is difficult to place in context.

This is not the KW but here is an example: neurologist texas

The exact match searches are highest for the KW neurologist texas, followed by neurologist in texas, and neurologist of texas.

I am having trouble making proper sounding sentences for on page seo and will probably experience the same for off page seo. What do you guys do in this kind of situation?

This happens a lot. I'd structure the sentence so that a comma falls perfectly after neurologists even if its not grammatically correct...ie. When it comes to choosing a neurologist, Texas residents have many choices.

You may not even need a comma in that example.

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Yea I was thinking along the lines of the same thing, but structuring around periods. Something like this: You should always have a good neurologist. Texas has many neurologists.

So even if there is punctuation with the term it still qualifies as an exact match?

Add the kw in article titles and sub titles like.
Things to know when searching for a neurologist Texas. (it does not sound the best but it will work)
"Then add the above or another sentence containing your KW as a quote toward the middle of the article"
At the end of the article add. Find other great articles about neurologist Texas, Neurologists of Texas, and Neurologist in Texas.

That is 3X KW plus 2X related keywords.

The most important thing I would add is included the following words in your article a few times each.
san antonio
medical center
texas city
nervous system
doctors neurologist
neurologist doctors
health care
texas medical
dallas neurologists
doctor directory

These are the LSI words for neurologist and are just as important imo.

I usually just treat that type of keyword as the keyword only, like neurologist Texas as neurologist (counting the sentence just on that not counting the Texas word).

OR

You could make it like: ... neurologist (Texas has a lot of good neurologists).