Methadone Clinics in Waco, Texas
1 SAMHSA-certified opioid treatment program operates inside Waco 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.
1 verified clinic in Waco
Waco at a glance
141,925
Residents
91 sq mi
Land area
29.2
Median age
$51,468
Median household income
14.5%
Uninsured (civilian)
15.2%
Families below poverty
Source: U.S. Census Bureau, ACS 5-year estimates (2023).
Overdose context for McLennan County
McLennan County reported a model-based drug poisoning death rate of 16.2 per 100,000 residents in 2021 (95% CI 14.6 to 17.9). That sits 43.1% below the national county mean of 28.5 per 100,000.
201910.8
202014
202116.2
Three-year change (10.8 to 16.2): +5.4 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: Small Metro.
Closest methadone clinic to Waco
Nearest verified opioid treatment program in Texas: Medmark Treatment Centers OF Texas in Fort Worth, about 77.4 miles (124.5 km) from Waco by straight-line distance. Driving time will run longer.
Why this matters for treatment access
McLennan County reports a 2021 drug poisoning death rate of 16.2 per 100,000, materially below the national county mean of 28.5. Roughly 14.5% 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 20,579 uninsured residents in Waco 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: Medmark Treatment Centers OF Texas in Fort Worth, about 77.4 miles from Waco. Office-based buprenorphine is also available locally and does not require daily clinic visits.
Nearby cities with methadone clinics
Arlington (1 · 128.7km) Fort Worth (4 · 130.7km) Dallas (4 · 139.3km) Haltom City (1 · 141.9km) Hurst (1 · 145.1km)
Need office-based treatment instead of a daily-dosed OTP? Many providers in Waco prescribe buprenorphine in office settings. See Suboxone providers in Waco.
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.