Texas · data as of October 7, 2026
Texas addiction treatment deserts
2,258,886 Texas residents live 30+ miles from medical detox, 7% of the state. 116 of 254 counties have no treatment program of any kind inside the county line. For methadone the number is 2,478,882 people (8%).
2,258,886people 30+ mi from detox
2,478,882people 30+ mi from methadone
116counties with no program
#27of 51 (#1 = worst detox access)
Longest trips
- The county farthest from detox is Presidio County, about 176 mi from PermiaCare in Odessa.
- The longest trip to a methadone clinic is from Presidio County: about 178 mi to Odessa, TX.
- 131 of 254 counties are more than 30 miles from medical detox; 151 are more than 30 miles from a methadone clinic.
- 188 counties are more than 15 miles from any listed buprenorphine (Suboxone) provider.
Counties farthest from medical detox
| County | Population | Miles | Nearest detox |
|---|---|---|---|
| Presidio County | 5,686 | 176 mi | PermiaCare, Odessa TX |
| Brewster County | 9,508 | 133 mi | PermiaCare, Odessa TX |
| Jeff Davis County | 1,778 | 127 mi | PermiaCare, Odessa TX |
| Webb County | 272,823 | 117 mi | Tranquilo Wellness, Uvalde TX |
| Terrell County | 718 | 115 mi | PermiaCare, Odessa TX |
| Culberson County | 2,254 | 101 mi | LifeHouse Carlsbad, Carlsbad NM |
| Zapata County | 13,819 | 81 mi | El Dorado Texas Community Service Ctr, Pharr TX |
| Jim Hogg County | 4,583 | 80 mi | El Dorado Texas Community Service Ctr, Pharr TX |
| Sherman County | 2,771 | 78 mi | West Texas Counseling and Rehabilitation Program of Amarillo Inc., Amarillo TX |
| Comanche County | 14,359 | 77 mi | Serenity Foundation of Texas, Abilene TX |
| Reeves County | 11,956 | 74 mi | PermiaCare, Odessa TX |
| Dallam County | 7,526 | 73 mi | Amarillo VA Healthcare System, Amarillo TX |
| Crockett County | 2,799 | 69 mi | West Texas Counseling and Rehabilitation Program of San Angelo Inc., San Angelo TX |
| Bailey County | 7,031 | 69 mi | The Lighthouse Bali, Lubbock TX |
| Scurry County | 16,211 | 69 mi | WTCR Abilene Inc, Abilene TX |
Counties farthest from a methadone clinic
| County | Population | Miles | Nearest OTP |
|---|---|---|---|
| Presidio County | 5,686 | 178 mi | West Texas Counseling and Rehabilitation Program of Odessa, Odessa TX |
| Brewster County | 9,508 | 134 mi | West Texas Counseling and Rehabilitation Program of Odessa, Odessa TX |
| Jeff Davis County | 1,778 | 128 mi | West Texas Counseling and Rehabilitation Program of Odessa, Odessa TX |
| Terrell County | 718 | 116 mi | West Texas Counseling and Rehabilitation Program of Odessa, Odessa TX |
| Culberson County | 2,254 | 106 mi | MedMark Treatment Centers, El Paso TX |
| Edwards County | 1,383 | 89 mi | South Texas Rural Health Services Inc, Eagle Pass TX |
| King County | 215 | 87 mi | Lubbock Regional MHMR Center Methadone Program, Lubbock TX |
| Childress County | 6,679 | 86 mi | Central Plains Center, Plainview TX |
| Mason County | 3,987 | 86 mi | Community Medical Services, Cedar Park TX |
| Cottle County | 1,263 | 81 mi | Central Plains Center, Plainview TX |
| Kimble County | 4,401 | 79 mi | West Texas Counseling and Rehabilitation Program of San Angelo Inc., San Angelo TX |
| Sherman County | 2,771 | 78 mi | West Texas Counseling and Rehabilitation Program of Amarillo Inc., Amarillo TX |
| Mills County | 4,563 | 76 mi | West Texas Counseling and Rehabilitation Program of Temple, Inc., Temple TX |
| Real County | 2,772 | 75 mi | MedMark Treatment Centers of Texas, Inc., San Antonio TX |
| Reeves County | 11,956 | 75 mi | West Texas Counseling and Rehabilitation Program of Odessa, Odessa TX |
Using these numbers
Free to republish with a link to this page. Download the Texas county CSV or the full U.S. dataset.
FindRehabMap, "Texas addiction treatment deserts", 2026. https://findrehabmap.com/texas/treatment-deserts/
Want one county on your page? Use the embed card. For a cut by legislative district or a different mileage cutoff, email [email protected].
Method
Program locations: SAMHSA FindTreatment.gov. Population centers (2020) and population estimates (2024): U.S. Census Bureau. Distances are straight-line from each county's population center; real driving distances are longer. See the full methodology.