Methadone Clinics in San Antonio, Texas
5 SAMHSA-certified opioid treatment programs operate inside San Antonio city limits. Each clinic below carries a current NPI on the CMS Medicare Provider OTP file. We list the operator-stated phone next to our verified intake line so you choose how to make contact.
5 verified clinics in San Antonio
Mars S A LLC
Medmark Treatment Centers OF Texas
7428 MILITARY DRIVE WEST, SUITE D MEDMARK TREATMENT CENTERS OF TEXAS,
San Antonio,
TX 78227 · Directions
Rivercity Rehabilitation Center INC
Texas Treatment Services LLC
San Antonio at a glance
1,458,954
Residents
498.9 sq mi
Land area
34.6
Median age
$62,917
Median household income
17.5%
Uninsured (civilian)
13.2%
Families below poverty
Source: U.S. Census Bureau, ACS 5-year estimates (2023).
Overdose context for Bexar County
Bexar County reported a model-based drug poisoning death rate of 22.4 per 100,000 residents in 2021 (95% CI 21.7 to 23.2). That sits 21.2% below the national county mean of 28.5 per 100,000.
201915
202019.4
202122.4
Three-year change (15 to 22.4): +7.4 per 100,000.
County-level estimates are reported at the county level, not the city level. Source: NCHS Drug Poisoning Mortality by County (CDC dataset rpvx-m2md), 2019 to 2021 model-based estimates. NCHS urban/rural classification: Large Central Metro.
Closest methadone clinic to San Antonio
Nearest verified opioid treatment program in Texas: Vcphcs Vii, LLC in Windcrest, about 9.2 miles (14.8 km) from San Antonio by straight-line distance. Driving time will run longer.
Why this matters for treatment access
Bexar County reports a 2021 drug poisoning death rate of 22.4 per 100,000, modestly below the national county mean of 28.5. Roughly 17.5% of residents lack health insurance, which is high enough that you should ask each clinic about sliding-scale fees and Medicaid acceptance before you commit. That works out to roughly 255,317 uninsured residents in San Antonio alone.
What to ask before you call
Methadone is a daily-dose program. That changes the questions you should be asking. Run through these before you commit to a clinic:
- What time does dosing start, and what time does it close? Daily methadone often means a 6am window five or six days a week.
- Which insurance plans do you bill? Medicaid coverage for OTPs varies by state plan and managed-care organization.
- How long does intake take from first call to first dose? In some states it is same-day. In others it can run a week.
- What is your take-home schedule? Federal rules let stable patients earn take-home doses over time. Clinic policy on how fast you earn them differs.
- Do you offer counseling on-site or do I coordinate it elsewhere?
If the in-city options do not fit
Closest alternative inside Texas: Vcphcs Vii, LLC in Windcrest, about 9.2 miles from San Antonio. Office-based buprenorphine is also available locally and does not require daily clinic visits.
Nearby cities with methadone clinics
Windcrest (1 · 17.3km) Corpus Christi (2 · 212km) Waco (1 · 268.5km) Jersey Village (1 · 290.7km) Houston (7 · 302.6km)
Need office-based treatment instead of a daily-dosed OTP? Many providers in San Antonio prescribe buprenorphine in office settings. See Suboxone providers in San Antonio.
Want a non-opioid alternative? See Texas Vivitrol providers for monthly extended-release naltrexone.
State-level access scoring, regulatory context, and the full directory live on the Texas methadone hub.