Buprenorphine Treatment Centers in Texas

Texas recorded 5,687 drug overdose deaths in 2023 — the second-highest absolute count in the country after California — though the state's 18.5-per-100,000 age-adjusted rate is well below the national average because of Texas's large population. The Texas Health and Human Services Commission licenses Narcotic Treatment Programs under 25 TAC §229, and the state operates a grant-funded Targeted Opioid Response (TOR) network for treatment expansion. NWVCIL's directory tracks 183 buprenorphine providers in Texas, with 17 in Houston, 14 in Dallas, and 12 in Austin. Texas Medicaid covers buprenorphine and naltrexone for eligible adults; methadone for OUD is reimbursed at the state's 78 SAMHSA-certified Narcotic Treatment Programs. 290 of the 412 verified facilities in our directory accept Medicaid, and 295 offer telehealth — important across the state's vast geography from the Panhandle to the Rio Grande Valley. For a Texan starting buprenorphine, common pathways include: a private MAT clinic in Houston, Dallas, Fort Worth, San Antonio, or Austin, a community mental-health center in one of the state's 39 Local Behavioral Health Authorities, a Federally Qualified Health Center for Medicaid or sliding-fee patients, an NTP for combined methadone-or-buprenorphine programs, an ED-initiated start at a hospital participating in the TOR network, or a telehealth visit with a Texas-licensed prescriber. Most providers can prescribe Suboxone, Subutex, Zubsolv, or the monthly Sublocade injection. The Texas Health and Human Services 211 line, SAMHSA's national helpline (1-800-662-4357), and the 988 Suicide and Crisis Lifeline are available 24/7.