Understanding Level III NICU Centers in Texas

High-Level Care for Serious, But Manageable Needs

Not every neonatal emergency requires the most extreme level of intervention. In fact, many newborns who face complications after birth can receive excellent, comprehensive care in what’s called a Level III NICU.


These units are well-equipped to treat premature infants, babies with mild to moderate complications, and those who may need longer observation or specialized support—but don’t necessarily require surgery or organ bypass systems.


What Exactly is a Level III NICU?

A Level III NICU is designed to provide:


  • Care for infants born as early as 28 weeks gestation

  • Respiratory support, including mechanical ventilation

  • Imaging, lab testing, and on-site access to pediatric subspecialists

  • Support for mild to moderate birth injuries, infections, or breathing difficulties

These units are often found in regional hospitals that serve large areas—including rural or suburban parts of Texas. They are staffed with neonatologists, neonatal nurses, respiratory therapists, and other trained professionals who work around the clock to stabilize and monitor medically fragile infants.


When Is a Level III NICU Enough?

In many cases, a Level III NICU is more than sufficient. For example:


  • A baby born at 33 weeks who needs oxygen and monitoring, but no surgery

  • A newborn showing signs of jaundice or mild respiratory distress

  • Infants with manageable infections or feeding issues

For families, the advantage of a Level III NICU is proximity—it may be located closer to home, reducing travel and separation from siblings or work. These units can provide highly competent care without uprooting a family unless absolutely necessary.


Texas Hospitals with Level III NICUs

Some examples of hospitals offering Level III NICU care in Texas include:


  • Texas Health Harris Methodist Hospital – Fort Worth

  • Christus Santa Rosa – San Antonio

  • Hendrick Medical Center – Abilene

  • Midland Memorial Hospital – Midland

If complications escalate or surgery is required, babies may be transferred to a Level IV facility. But many families will never need that next step.


For Families With Ongoing Concerns

If your child received Level III NICU care and has since been diagnosed with a serious or life-altering condition, it’s okay to have questions. Was the situation managed properly? Should a transfer have occurred sooner? These are valid concerns—and you deserve clear, thoughtful answers.


At Van Wey, Metzler & Williams, we help families explore what happened in those early, critical hours of life. If something was missed or delayed, we work to uncover the truth and pursue accountability when appropriate.


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