i30 Builders · Medical Sector

Clinic and Dental Office Construction Around Live Practices

Clinics, pediatric practices, and dental offices, built and renovated without closing your doors. Phased scheduling, contained work zones, and one point of contact from permit set through punch list.

Clinics · Pediatric · Dental · Behavioral Health · Exam Rooms · Occupied-Practice Phasing

Rated 5.0 on Google$1M GL + $1M Umbrella1-year workmanship warranty

Completed medical office interior by i30 Builders: slat-clad millwork with quartz ledge and staff service windows, built around an operating practice in Mansfield.

Who builds and renovates medical and dental offices in Dallas-Fort Worth?

i30 Builders, a general contractor based in Royse City, TX, builds and renovates clinics, pediatric practices, dental offices and behavioral health interiors across Dallas-Fort Worth and East Texas. Occupied practices stay open: the work is phased into contained zones, loud and dusty phases move to nights and weekends, and the space is reset before the first appointment each morning. Each job is scoped and priced per project after a site walk, lump sum from a written scope before any deposit, with no published starting price, and we pull the permits and schedule the inspections.

Pricing
Per project after a site walk, lump sum. No published starting price
Permits
Permits and standard city inspections included
Insurance
$1M GL + $1M Umbrella, certificate on request
Warranty
One-year workmanship warranty, in writing
Where
Dallas-Fort Worth and East Texas

Updated

What we build for medical and dental practices

  • Clinic & exam room build-outs
  • Pediatric practice interiors
  • Dental operatory & sterilization areas
  • Behavioral health treatment rooms
  • Reception, check-in & waiting areas
  • Acoustic separation & speech privacy
  • Accessibility & TAS-driven upgrades
  • Occupied-practice phased renovation
  • After-hours & weekend scheduling
  • Med-gas & plumbing trade coordination

Building where patients are present

A medical practice cannot pause revenue and patient care for a renovation. So the renovation has to bend around the practice: phased work zones, nights and weekends for the loud and dusty phases, sealed containment between construction and patient circulation, and a full reset of the space before the first appointment each morning. That is how we delivered a pediatric clinic exam-room build-out in Mansfield, worked entirely around active clinic operations, and it is the default plan we bring to every occupied practice.

Medical interiors also carry technical requirements that ordinary office work does not. Dental operatories and sterilization areas are dense with plumbing, vacuum, and compressed-air lines. Behavioral health interiors, like the clinic interior we built in McKinney with treatment rooms and acoustic separation, depend on partitions and details that protect speech privacy. Accessibility under the Texas Accessibility Standards shapes routes, restrooms, and clearances, as it did in the state facility interior we upgraded in Longview under agency coordination.

All of it runs through licensed mechanical, electrical, and plumbing trade partners coordinated under a single contract with direct principal oversight. Your office manager does not referee subcontractors. You hold one contract, get one schedule, and call one person.

How a medical or dental build-out is priced

Lump sum, from a written scope, before any deposit. Every line is priced against the published rate card, and anything outside the written scope becomes a priced change order before it is built. Scope and the condition of the space move the number more than square footage does.

Included in the price

  • Labor
  • Materials listed in the written scope
  • Permits and standard city inspections
  • Project management
  • Mobilization
  • Protection of adjacent areas
  • Cleanup
  • One-year workmanship warranty

Priced as its own line

  • FF&E and equipment
  • Design and engineering
  • Landlord fees
  • Health-department plan review fees

Hidden conditions are excluded by default and surfaced as a change order: rot, mold, asbestos, lead, water-compromised framing, and code corrections unrelated to the scope. Nothing is absorbed quietly and nothing is discovered on the invoice.

How long a medical or dental build-out takes

Construction time is set mostly by what the landlord delivers. These are the published scope bands our schedule planner uses for medical or dental space.

Space as deliveredConstructionScope band
Second-generation (existing conditions to reuse)12 to 24 weeksMedical conversion
White box or vanilla shell12 to 24 weeksMedical conversion
Raw or cold shell16 to 24 weeksMedical conversion in a shell

Second-generation: If the previous tenant was also a clinical use and the expensive infrastructure genuinely carries over, this can fall toward the published second-generation refresh band of 2 to 4 weeks. Confirm that on a walk before you plan around it.

Before construction starts

  • Field survey and test fit: 1 to 2 weeks
  • Construction documents: 2 to 4 weeks
  • Landlord review: 1 to 3 weeks per round, and budget 2 rounds
  • City plan review: 3 to 4 weeks

Landlord and city review run side by side, so together they take 3 to 6 weeks, not the sum. Health department review runs on its own timeline alongside the building permit. Submit both at the same time rather than in sequence.

Order these first

  • Rooftop HVAC units and specialty ductwork: 8 weeks or more
  • Specialty doors and hardware: 8 weeks or more
  • Custom millwork and casework: 8 to 12 weeks
  • Specialty flooring and large-format tile: 6 to 12 weeks
  • Decorative, track, and feature lighting: 6 to 10 weeks

Plan your own dates backward from an opening day

Who we are a fit for, and who we are not

A good fit

  • Clinics, pediatric practices, dental offices and behavioral health interiors
  • A practice that has to keep seeing patients during the work
  • Dental operatories and sterilization areas dense with plumbing, vacuum and compressed air
  • Interiors held to the Texas Accessibility Standards

Not a fit

  • Ground-up construction. Our commercial work is tenant improvement, build-out and renovation of existing space.
  • Work outside Dallas-Fort Worth and East Texas. We do not chase work beyond those two markets.
  • A job without a written scope. Nothing starts on a handshake and gets reconciled later.

Occupied-Practice Tenant Improvement · Mansfield, TX

Rebuilt medical office front desk with full-height quartz waterfall panels, raised transaction ledge, and new wood-look flooring

Pediatric Clinic, Phased While Operating

Front-desk and check-in rebuild plus an exam-room block reconfiguration, performed after hours in phases with nightly cleanup and reset. The clinic never closed a business day.

See Medical & Dental Renovations →

Common Questions

Medical and dental office construction questions, answered

Can you renovate our clinic while we keep seeing patients?

Yes. That is the normal condition for our medical work, not the exception. We phase the project into zones, work nights and weekends where the schedule requires it, and reset the space for next-day patient care after every shift. The phasing plan, work hours, and reset standard are written into the scope before work starts.

How do you control dust and debris around patient areas?

With sealed containment barriers at every work zone boundary, walk-off protection at transitions, and cleanup at the end of every shift rather than the end of the project. Work areas are isolated from patient circulation, and we coordinate barrier locations with your staff so exam flow and waiting areas keep functioning.

Can you handle acoustic privacy between exam and treatment rooms?

Yes. Speech privacy is a design requirement in medical and behavioral health interiors, not a finish upgrade. Depending on the design, that means insulated partitions, partitions extended to deck, sealed penetrations, and door and frame selections chosen for acoustic separation. We build to the acoustic details in your drawings and flag gaps when the drawings are silent.

Who handles medical gas, plumbing, and electrical work?

Licensed mechanical, electrical, and plumbing trade partners, coordinated under our single contract with direct principal oversight. Dental and clinic work is plumbing-heavy: vacuum and compressed-air lines, sterilization areas, and fixture counts far beyond a standard office. You still hold one contract and call one person.

Do you handle accessibility and TAS compliance?

Accessibility is built into the scope from the drawings forward: routes, clearances, restrooms, and hardware per the Texas Accessibility Standards. Projects over the state threshold require registration and inspection through a Registered Accessibility Specialist, and we sequence that review into the schedule. We have performed accessibility-driven interior work in a state facility under agency coordination.

What does a medical or dental build-out cost in DFW?

It depends on exam room count, plumbing intensity, equipment requirements, and how much of the existing space can be reused. We do not publish blanket numbers because they mislead more than they help. Our medical and dental cost guide explains the real cost drivers, and a written scope from a site walk gives you a figure you can take to your lender or landlord.

Project Proof

Medical Sector Case Studies

View All Case Studies
Medical Office Waiting Room Rebuild, McKinney, TX

McKinney, TX

Medical Office Waiting Room Rebuild

Full front-of-house rebuild for a McKinney medical practice, the patient-facing waiting room and reception area. Demo of the existing finishes, new flooring, paint, reception millwork, and lighting reset. Patient experience zone delivered as a complete refresh under one contract.

Read full case study
Pediatric Clinic Build-Out, Mansfield, TX

Mansfield, TX

Pediatric Clinic Build-Out

Full interior build-out of a pediatric clinic in Mansfield, taken back to bare structure with the ceiling opened up, then rebuilt. Partition walls were framed to the taped floor layout, and MEP was coordinated and inspected overhead before anything closed up. Exam rooms and the corridor were finished in plank flooring with stained trim and doors, plus casework, lighting and interior signage.

Read full case study

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Tell us about your practice, your hours, and what needs to change. We'll walk the space and return a written scope with a phasing plan.

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