San Antonio & South Texas · Medical, Dental, Veterinary
David Ballard, Parker LaBarge and Davis Smith represent medical, dental and veterinary practices on lease renewals, new locations, relocations and building purchases across San Antonio and South Texas. On your deal we work for the practice and never for the landlord. We start from our own data on 1,300+ San Antonio medical office buildings: owner, size, occupancy, leasing broker and asking rent where one is quoted.
$0 out of pocket for most practices. The landlord pays our fee.
Call (210) 384-2342Savings are Partners' San Antonio aggregate on completed healthcare renewals versus the landlord's initial proposal. The Google rating is Partners Healthcare Services, all markets, as of September 2026. Past results do not guarantee future outcomes.
Who You Work With
David Ballard, CCIM and Parker LaBarge, CCIM are Partners. Davis Smith is the Associate who works full time on San Antonio healthcare real estate and maintains the team's data on 1,300+ medical office buildings. All three sit in the San Antonio office at 112 E. Pecan St, and each card carries a direct line. We are the San Antonio team of Partners Healthcare Services, the firm's national healthcare practice.
In commercial real estate since 2001, focused on office, medical, and investment properties. A partner at Reata Real Estate through its 2019 acquisition by CBRE, and past president of the South Texas CCIM chapter.
Specializes in tenant representation and project leasing in the medical and office sector. CCIM designee, and the second of two partners on every San Antonio healthcare assignment this team takes.
Focused full time on San Antonio healthcare real estate. Maintains the team's market data on 1,300+ medical office buildings across San Antonio and South Texas, so every negotiation starts from what the market actually charges.
Closed In San Antonio
Owner-User Purchase · Buyer Represented
David Ballard and Parker LaBarge represented the physician group in buying its own building rather than signing another lease. The new building is the one photographed across this site.
Office Tenant Representation
Placed the client in 27,274 RSF, then expanded them to 52,000 RSF and sourced an ownership position in the building for them.
Lease of the Year Award, 2026.
Office Tenant Representation
Created build-to-suit options to put the landlord in competition. Lease terms 23% below market, plus landlord-funded upgrades to the lobby, elevator, pylon sign and cooling tower.
Tenant names withheld. 800 Sonterra and Trinity Plaza II are office tenant representation assignments from Partners' San Antonio office, included because they show how the negotiation is run. Past results do not guarantee future outcomes.
Savings are Partners' aggregate results on completed healthcare renewals versus the landlord's initial proposal. Transaction value and square footage are the San Antonio office's totals across all property types over the trailing 36 months, not healthcare alone. Past results do not guarantee future outcomes. Case studies and client quotes.
What We Track
This is the map we work from. A landlord knows what every tenant in the building pays and what the last five deals looked like. Now so does the broker on your side.
Read up on a corridor: The Medical Center · Stone Oak · Westover Hills · The South Side · Northwest 1604 · Alamo Ranch · Downtown · North Central · The I-35 northeast corridor · New Braunfels · Boerne
112 of the 120 buildings over 40,000 SF in our dataset fall inside this frame; New Braunfels, Boerne and San Marcos are tracked the same way. The full dataset covers every size. Practice counts are our own tally of distinct addresses in the federal NPPES registry for San Antonio and South Texas, current September 2026. The building dataset is licensed market data we hold under our own subscriptions and use on your behalf; positions only are shown and nothing from it is republished. Roads and hospitals from OpenStreetMap contributors, ODbL.
What This Costs Your Practice
It is in the listing agreement before you walk in.
You do not save it. Their broker keeps it.
For most practices, $0 and no invoice from us.
Same fee, two ways to split it. One of them puts a negotiator in your corner. The other does not.
A few situations differ, such as owner-direct, physician-owned and sublease space. We confirm the fee in writing on every building before you tour it. Brokerage fees are negotiable and not set by law.
Partners Healthcare Services
Clients of the national healthcare practice we are part of, quoted from its published testimonials. The practice began in 2009 as Crown Tenant Advisors in Atlanta, joined Partners in July 2026, and holds 5.0 on Google across 109 reviews as of September 2026.
They did not stop until the contract was perfect, and I was in the best financial situation for my life and work.
They know their profession inside and out and working with them was nothing short of amazing. I recommend them without hesitation.
They negotiated us a deal that helped to make the leasehold space affordable for our new startup.
I had worked with two other realty groups over two years without securing property. They found the perfect location, handled everything, and we open within the month.
Their expertise allowed me to spend the time doing my dentistry and not worrying about trying to renegotiate with the landlord.
I had used someone not dental-specific for my last two renewals. This time they reworded my lease to include what is in the best interest of my practice for the future.
109 Google reviews, Partners Healthcare Services › Every client quote, in full ›
Five Partners Healthcare Services deals, each measured against the terms the landlord first offered. Past results do not guarantee future outcomes. Line by line, on the results page.
How We Do It
Send us your lease or the landlord's proposal. We read it and come back within 72 hours with what stands out.
We survey the market: what your building and comparable buildings charge, what your space would cost elsewhere, and where your leverage is. Then we build a real alternative so walking away is credible.
We negotiate the renewal or the new lease: rate, increases, free rent, allowance, options and guaranty. Then we stay on through build-out and move-in. You keep one point of contact for every location you ever add.
Start With Your Corridor
What changed on each hospital campus, what actually drives a deal there, and what to check before you sign. Public record and our own work in each corridor, nothing borrowed from a listing site.
The densest concentration of medical real estate in South Texas, and the hardest submarket to lease well. Here is what actually drives a deal on this campus.
Where San Antonio's elective and cash-pay specialties look first, and where the hardest thing to find is a small second-generation suite.
The clearest cause and effect story in San Antonio medical real estate: beds left the Medical Center and reappeared out here.
A half million people, 325 hospital beds gone since 2023, and a new 166-bed campus landing in 2027.
For physicians who want Medical Center referral proximity without Medical Center rent, parking or campus politics.
Rooftops well ahead of medical supply, three freestanding emergency rooms, and no hospital.
The only San Antonio submarket where a practice bids against law firms for the same floor plate, and where parking cost decides the deal.
Where cash-pay and referral-light practices go: older buildings, small suites, surface parking that works, and the good space never hits the market.
Two systems adding inpatient capacity on the same eight miles of I-35, and about 100,000 square feet of attached medical office that has to be leased.
Two competing hospital systems in one of the fastest growing counties in the country, and a leasing market tight enough that waiting has a real cost.
A county that has never had a hospital is getting one, with medical office attached. The pre-leasing window is open right now.
Common Questions
Most of the time, nothing comes out of the practice's pocket. In a typical commercial lease the landlord agrees in its listing agreement to pay a leasing commission, and a share of that fee goes to the broker representing the tenant. That is the customary structure in medical leasing rather than a legal requirement, so we verify it building by building. Some situations differ: owner-direct space, physician-owned buildings, sublease space, and some institutional landlords. When that happens we tell you before you tour and you decide how to proceed. Our written agreement states exactly how we are paid and by whom. Brokerage fees are not set by law and are fully negotiable.
Not on your deal. On your assignment we work for you alone, and nobody negotiating for you is paid by your landlord. Our office does take landlord listings in San Antonio; if a building you are considering is one of them, you will know that in writing before you tour it, and you decide. The landlord already has a broker. On your negotiation, this is yours.
If it is a medical office building in the San Antonio metro, very likely. Send the address and we will tell you what we have on it, including what comparable buildings are charging, at no cost.
Nothing is shared with any landlord, including yours. We reply within one business day, read the whole lease or proposal, and come back within 72 hours with what stands out. If you decide not to hire us, you keep what we sent you and the document stays with us.
San Antonio and South Texas directly: the metro and its hospital corridors, the I-35 and Hill Country towns, the Rio Grande Valley, Corpus Christi and Laredo. Austin, Houston and Dallas-Fort Worth through Partners' offices in each city, with us as your point of contact. Beyond Texas through Partners Healthcare Services, which has its own brokers in Georgia, North Carolina, South Carolina and Indiana; anywhere else we bring in the best healthcare broker in that market and run the assignment, with one point of contact throughout.
Within 72 hours, at no cost, and nothing is shared with your landlord. Not ready to send it? Send us the building address instead.
Send us your lease Call (210) 384-2342