South Texas Bone and Joint Expansion in San Antonio, TX

Methodist Landmark Medical Office Building is undergoing a renovation at 5510-B Presidio Parkway Suite 2401 in San Antonio. The project, filed under the name South Texas Bone and Joint Expansion, involves a clinic expansion into existing adjacent shell space. The scope covers 1,804 sq ft of work with an estimated cost of $368,000. This equates to $204 per square foot, a figure that sits above the county median of $85 for similar renovation filings in Bexar County.

The owner of record is Methodist Healthcare System Ltd, L.L.P. The design firm of record is Insite Design & Planning, Inc., which has six other TDLR-registered projects in the area totaling $3,862,000. Attila Huszka serves as the registered accessibility specialist for this work. The project is privately funded on private land for private use. Construction was scheduled to begin in February 2025, with a planned completion date of May 2025.

TDLR completed plan review in February 2025 and construction was scheduled to finish in May 2025; TDLR has not yet recorded a final inspection, so the current state of the site is not confirmed in the public record. The scheduled build window of 81 days is close to the county median of 103 days for renovation and alteration projects. The cost of $368,000 is above the county median of $250,000 for this type of work.

Local Context

The site is located in ZIP code 78249, where the U.S. Census estimates the population at about 61,772. The median household income in this area is $80,851, and the median owner-occupied home value is $284,200. Housing in this ZIP code is an even mix of owner- and renter-occupied units. Nearby businesses include BAPS Shri Swaminarayan Mandir, Garza Home Team - Keller Williams City View, and Mark Haverkorn, DDS, MD.

City of San Antonio permit records show five permits on file at this street address, issued between November 2025 and August 2026. These include a Plumbing Irrigation Permit, a Res New Building Permit, a Garage Sale, an On Premise Sign, and an LSR Plumbing Permit. The most recent permit is associated with addresses 5510 Augustus Brooks, 5510 TOLEDO BREEZE, and 5510 BLANCO RD. The Bexar County unemployment rate was 4.6 percent in August 2026, lower than a year earlier.