Funding type
This project involves public funds, public land, or is a Federally funded roadway project.
Big Bend Health - Presidio Clinic
1210 East O'Reilly Street, Presidio, TX, 79845
Big Bend Health - Presidio Clinic is a new construction project at 1210 East O'Reilly Street, Presidio, in Presidio County, TX, tracked from its Texas Department of Licensing and Regulation (TDLR) registration. Under construction, estimated completion Jul 2027. The project has an estimated value of $3.0M across about 6,500 sq ft.
- Estimated project value
- $3.0M
About this figure
Estimated construction cost supplied in the TDLR filing. This is not a current property appraisal or a final construction invoice.
- Reported floor area
- 6,500 ft²
About this figure
Square footage reported for this scope of work. It may cover only part of a larger property.
- Estimated cost / ft²
- $462/sqft
About this figure
Calculated from this filing’s estimated cost divided by its reported square footage. Available only when both figures are supplied; it is not a market benchmark.
- Scheduled duration
- 1y 3mo
About this figure
The interval between the filed start and completion dates. These dates describe the proposed schedule and do not measure actual construction progress.
The project record
Project timeline
Explore filed milestones and scheduled dates. Open a milestone for its source.
4 timeline dates shown.
Project registered · TDLR filing
Registration of the project with the Texas Department of Licensing and Regulation.
Source: TDLR filing
View source recordReview complete · TDLR filing
The filing records completion of the accessibility review.
44 days after the preceding date shown.
Source: TDLR filing
View source recordScheduled construction start · Scheduled date
A date supplied in the filing; this does not confirm that work started or finished.
29 days after the preceding date shown.
Source: TDLR filing
View source recordScheduled completion · Scheduled date
A date supplied in the filing; this does not confirm that work started or finished.
452 days after the preceding date shown.
Source: TDLR filing
View source record
📰About Big Bend Health - Presidio Clinic
A new 6,500-square-foot medical facility is rising at 1210 East O'Reilly Street in Presidio, Texas. Big Bend Health, the owner of record, is constructing a building designed for office and outpatient clinic functions. The project is a new construction effort with an estimated cost of $3,000,000. According to TDLR filings, construction is scheduled to finish in July 2027, with work starting in May 2026.
Project Scope and Design
The structure will serve as a clinic for the local community, integrating administrative office space with patient care areas. Wilson & Company, Inc. is the design firm of record for this project. Andy S Castillo is the registered accessibility specialist listed in the filing. The project involves public funds or public land, marking it as a significant development in the region. Local coverage from bigbendtimes.com reported on the $3 million clinic project, describing the planned 6,500-square-foot building at the specific address.
The estimated cost of $3,000,000 translates to $462 per square foot. This figure is above the county median of $201 per square foot for similar new construction filings in Presidio County. The median estimated cost for new construction in the county is $1,425,900. This project exceeds that median, reflecting the specialized nature of medical facility construction. The scheduled build window is 452 days, which is longer than the county median of 310 days.
Timeline and Status
TDLR completed plan review in April 2026. The registration with TDLR occurred in February 2026. The status is Review Complete. Construction is scheduled to finish in July 2027. The project is not yet open to the public as a functioning clinic, as construction is still in progress. The timeline indicates a standard construction period for a building of this size and complexity.
Presidio is a small community with a population of about 3,326 according to U.S. Census estimates for ZIP 79845. The median household income in the area is $19,405. This new clinic will add to the local infrastructure, providing outpatient services. The project represents a significant investment in healthcare access for Presidio County residents. The construction activity may impact local labor markets, with the county unemployment rate at 6.7 percent in July 2026.
Review Complete
Design review complete, construction may proceed
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Big Bend Health - Presidio Clinic is a New Construction project located at 1210 East O'Reilly Street, Presidio, TX 79845 in Presidio, Texas. The project has an estimated value of $3.0M covering 6,500 sq ft. Big Bend Health is the property owner and Wilson & Company, Inc. is the design firm of record. The project was registered with TDLR on February 20, 2026.
Frequently Asked Questions
Is the Big Bend Health Presidio Clinic open?
No, the clinic is not open. Construction is scheduled to finish in July 2027. The building is under new construction and has not yet begun operations as a medical facility.
What is the address of the new clinic?
The new clinic is located at 1210 East O'Reilly Street in Presidio, Texas, 79845. This is the site for the 6,500-square-foot building owned by Big Bend Health.
Who is designing the clinic?
Wilson & Company, Inc. is the design firm of record. Andy S Castillo is the registered accessibility specialist listed in the TDLR filing for this project.
How much does the clinic cost to build?
The estimated cost is $3,000,000. This works out to $462 per square foot for the 6,500-square-foot building. This is above the county median cost per square foot.
When will the clinic be finished?
Construction is scheduled to finish in July 2027. Work started in May 2026, following the completion of plan review in April 2026 by TDLR.
What is Big Bend Health - Presidio Clinic?
Big Bend Health - Presidio Clinic is a new construction project at 1210 East O'Reilly Street in Presidio, Texas, registered with the Texas Department of Licensing and Regulation (TDLR). Scope of work: 6,500 sqft new building, with office and out patient clinic functions.
Is Big Bend Health - Presidio Clinic open in Presidio?
Big Bend Health - Presidio Clinic is still under construction in Presidio, TX, with an estimated completion of Jul 2027 according to its TDLR registration.
Where is Big Bend Health - Presidio Clinic located?
Big Bend Health - Presidio Clinic is located at 1210 East O'Reilly Street, Presidio, TX, 79845, in Presidio County.
Who is the owner or developer of Big Bend Health - Presidio Clinic?
Big Bend Health is the property owner/developer of record for Big Bend Health - Presidio Clinic, per its TDLR project registration.
Who is the architect or design firm for Big Bend Health - Presidio Clinic?
Wilson & Company, Inc. is the design firm of record for Big Bend Health - Presidio Clinic, according to its TDLR filing.
How much does Big Bend Health - Presidio Clinic cost and how big is it?
Big Bend Health - Presidio Clinic has an estimated construction value of $3.0M and approximately 6,500 square feet (about $462/sqft), based on its TDLR filing.
Scope of Work
6,500 sqft new building, with office and out patient clinic functions.
Note: This project is registered under the Texas Accessibility Standards (TAS) program. TDLR registration is required for commercial and public facility construction to ensure compliance with accessibility requirements under Texas Government Code Chapter 469.
Location & views
1210 East O'Reilly Street, Presidio, TX, 79845
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