River Oaks M.O.B. in Houston, TX

River Oaks Medical, also known as River Oaks M.O.B., has completed its renovation at 4126 Southwest Fwy in Houston. The project involved a $750,000 scope of work to upgrade the accessibility and exterior infrastructure of the medical office building. Registered with the Texas Department of Licensing and Regulation (TDLR) in January 2025, the work focused on remodeling the front and rear entrances. The registered accessibility specialist for the filing was William T Winning, and the design firm of record was Heights Venture Architecture Design.

Project Scope and Specifications

The renovation covered 5,000 square feet of site improvements. The scope included the installation of concrete ramps, planters, steel and glass awnings, and new paving. Additional work encompassed utilities, sidewalks, landscaping, and irrigation systems. The estimated cost per square foot for these improvements was $150. The owner and developer of record was River Oaks MOB SPE LP. The project was privately funded and situated on private land for private use, located in the Greenway / Upper Kirby Area of Harris County.

Timeline and Compliance

Construction began in February 2025 following the completion of plan reviews in January 2025. The filing indicated a completion date of September 2026. However, the building passed its final TDLR accessibility inspection in October 2026, marking the official end of the construction phase. The TDLR status is now recorded as Inspection Complete.

For context, the median estimated cost for renovation or alteration projects in Harris County is $250,000, with a median size of 4,000 square feet. This project’s $750,000 cost places it above the county median for its type, in the top quarter. The scheduled build window of 569 days is significantly longer than the county median of 92 days. The $150 per square foot cost is also above the county median of $80. Nearby businesses include Mercedes-Benz of Houston Greenway and Costco Wholesale.