Dallas Medical Office, ASC & Healthcare Construction
Design-build medical construction across DFW: MOBs, ambulatory surgery centers, urgent care, imaging suites with shielded vaults, and medical tenant improvements. Texas does not require Certificate of Need, which is a real schedule advantage.
How TCG Builds Medical in DFW
DFW is one of the largest medical markets in the country, anchored by UT Southwestern Medical Center, Baylor Scott & White, Texas Health Resources, Methodist Health System, and a deep operator market (HCA, Tenet, freestanding ER groups, ASC syndications). North Dallas growth in Plano, Frisco, McKinney, and Allen drives sustained MOB and ASC pipeline. The Richardson/North Dallas medical corridor along the Tollway is one of the most active in the country.
Texas repealed Certificate of Need decades ago. That single regulatory difference accelerates DFW medical construction relative to CON states by 6 to 18 months because new ASCs, imaging centers, and hospital additions skip the state approval cycle. TDLR licensing and local plan review still apply, but the binding constraint is design quality and permitting speed, not state-level entry permission. TCG coordinates TDLR ASC review concurrent with City of Dallas (or the suburban authority) plan check.
We engineer architecture, MEP, and structural in-house and coordinate imaging vendor shielding (Siemens, GE, Philips, Canon) early. For surgery centers, medical gas distribution, isolation rooms, and clinical low-voltage are integrated into MEP from schematic design. ERCOT/Oncor service coordination matters for large MOBs and ASCs with significant imaging equipment loads, and hail-resistant roof and rooftop equipment screening is standard practice across DFW. Design-build compresses program 15 to 30 percent against design-bid-build.
Dallas Medical Construction Cost Per Square Foot
DFW medical construction runs $178 to $460 per SF depending on use. Multiplier is roughly 0.92 to 1.05x of national average. Specialty medical scopes (shielding, medical gas, clinical low-voltage) track national specialty pricing more than local market.
Dallas Medical Construction FAQ
Common questions about medical office, ASC, urgent care, and imaging construction in DFW.
Dallas-Fort Worth medical construction runs $178 to $460 per SF depending on use. Medical office building $178 to $398, urgent care $225 to $408, imaging suites with MRI/CT shielding $282 to $460, ambulatory surgery centers $322 to $610, and medical tenant improvement $160 to $455. DFW multiplier is roughly 0.92 to 1.05x of national average. See national MOB cost guide.
Medical office buildings (single-specialty and multi-specialty), ambulatory surgery centers (ASCs), urgent care clinics, freestanding emergency departments, imaging suites with shielded vaults, dental offices, optometry offices, veterinary clinics, and medical tenant improvements. See core sector page and the urgent care guide.
No. Texas repealed Certificate of Need decades ago and does not require CON for hospitals, ASCs, MOBs, imaging, or freestanding ERs in most cases. That is a major schedule and capital advantage versus CON states. TDLR (Texas Department of Licensing and Regulation) licensing, state ASC rules, and local plan review still apply. UT Southwestern, Baylor Scott & White, Texas Health Resources, and the strong DFW freestanding ER market all leverage this.
DFW combines academic medicine (UT Southwestern), large nonprofit systems (Baylor Scott & White, Texas Health Resources, Methodist Health System), national operators (HCA, Tenet), and a deep freestanding ER and urgent care market. Population growth in North Dallas (Plano, Frisco, McKinney, Allen) drives sustained MOB and ASC pipeline. No CON means the market moves fast.
TCG has delivered Davita Dialysis across 25 sites in Texas, plus medical office buildings, urgent care, ASCs, and imaging suites across multiple states. National experience: 38 states, over 1,000,000 SF of IMP installed (relevant for medical envelope work). We bring in-house architecture, MEP, and structural.
MRI suites need RF-shielded vaults (typically 6-sided copper or aluminum enclosure), vibration isolation, magnet quench piping, and temperature-stable HVAC. CT and X-ray rooms need lead-shielded walls, doors, and view windows per state physicist specification. We coordinate equipment vendor (Siemens, GE, Philips, Canon) shielding and rough-in early so the structural and MEP design integrates the load and conduit paths from day one.
Ground-up MOB or ASC: 4 to 8 months from intake to permit through City of Dallas Development Services or the relevant suburban authority (Plano, Frisco, Irving, Arlington, Fort Worth). TDLR ASC licensing reviews run in parallel. Medical TI within an existing shell typically permits in 2 to 5 months. Design-build overlaps permitting with construction prep to compress total program.
Re-routing or upsizing of medical gas (oxygen, vacuum, medical air, nitrogen), installation of negative pressure isolation rooms with HEPA, integration of nurse call and clinical low-voltage, finish upgrades to meet TJC and CMS standards, accessibility and door-clearance compliance, and seismic anchoring of casework and equipment. Texas does not require CON so TI scope often expands services without state-level approval delay.
Right-to-work, deep labor market, and no state income tax keep DFW medical construction labor pricing moderate relative to coastal markets. DFW is more cost-stable than Austin (less tech-driven wage inflation) and slightly lower than the national average for finish trades. Specialty medical scopes (shielding, medical gas, clinical low-voltage) track national specialty sub pricing more than local market.
MOB ground-up: 10 to 16 months from groundbreak. ASC ground-up: 11 to 17 months with TDLR licensing concurrent. Urgent care: 8 to 13 months. Medical TI: 3 to 7 months. Imaging suite TI with shielded vault: 4 to 8 months. Add 3 to 8 months of preconstruction and permitting before groundbreak. Design-build compresses total program 15 to 30 percent.
Build Your Dallas Medical Facility
From a Plano multi-specialty MOB to a Frisco ASC to an imaging suite TI in Richardson, TCG delivers design-build medical construction across DFW with in-house architecture, MEP, and structural.
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