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Welcome to San antonio

Medical Tenant Representation

From Clinics to Surgery Centers

Representing Medical Tenants Across San Antonio—From Clinics to Surgery Centers

Medical tenants have unique needs—HIPAA compliance, plumbing infrastructure, ADA access, waiting areas, exam room layout, proximity to hospitals or other providers, and more. But San Antonio’s tight real estate market is making it harder than ever to find turnkey medical space or willing landlords for medical-use conversions.
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Years Experience
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From Clinics to Surgery Centers

Who We Represent

We represent dentists, optometrists, urgent care centers, specialists, plastic surgeons, med spas, and primary care clinics—helping them navigate this complex market and secure sites that meet both clinical and business goals.
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Challenges

Challenges Medical Tenants Face

Scarcity

Scarcity of true medical buildouts in desired locations

High cost

High cost of converting retail or office space into compliant clinical use

Strict zoning

Strict zoning or use restrictions in some retail centers

health system

Hospital/anchor health system competition dominating submarkets

long term lease

Need for long-term leases but lack of flexibility from landlords

Improvement

Tenant Improvement allowances often insufficient for medical-specific needs

upgrades required

Complicated HVAC, electrical, plumbing upgrades required for medical use

design challenges

HIPAA-compliant layouts and secure patient flow design challenges

Specialties

Our Specialties

We bring local market insight, technical understanding of medical-use real estate, and sharp negotiation tactics to the table—so you can focus on your practice, not your lease.

analysis

Demographic, insurance coverage, and referral pattern analysis.

Custom site searches

Retail, office, and mixed-use properties suitable for medical use

Understanding

Understanding of medical infrastructure needs plumbing, ADA, HVAC, shielding, etc.

Guidance

Guidance on zoning and permitted use (including med spa and outpatient surgery centers)

Protection focused

Protection-focused LOIs and leases, with clauses that safeguard your equipment, operations, and exclusivity

consultants

Connection to local contractors, lenders, and compliance consultants

Landlord negotiations

Landlord negotiations and build-out coordination

Lease vs. purchase

Lease vs. purchase analysis to determine what’s best for your practice long-term
Case Study
Multi-Location Dermatology Practice
Client:

Dermatology practice expanding from Austin

Challenge:
  • Needed two clinics in north and west San Antonio with short timelines and strict compliance
Solution:
  • Identified shell retail space near medical hubs and negotiated turnkey buildout by landlord
  • Handled zoning verification, exam room layout consultation, and lease protections
Result:
  • Opened both clinics within 6 months
  • Achieved cost savings through negotiated rent abatement and TI packages
Read Full Case Study Here
Testimonials

What They Says about us.

We struggled for over a year to find a compliant, affordable space—until Tristen stepped in. He understood our clinical needs and helped us negotiate favorable terms.
JohnCo-Founder, Med Spa Group
As a specialist, I needed a location that felt right for both patients and referrals. Tristen gave me clarity, options, and the confidence to move forward.
Thaddeus WilsonDoctor, New Private Practice
We struggled for over a year to find a compliant, affordable space—until Tristen stepped in. He understood our clinical needs and helped us negotiate favorable terms.
Scarlett BurtonCo-Founder, Med Spa Group
LET'S GET STARTED

Opening a practice or adding a new location?

Let’s get you in the right space—on the right terms.
Book a Medical Strategy Call