TotalCare Family Practice

TX 78 LLC is renovating a 2,989 sq ft space at 635 S. State Highway 78 in Lavon for TotalCare Family Practice. The project involves a tenant finish out for a new Medical Family Practice, with an estimated cost of $598,000. This investment works out to $200 per square foot, a figure that sits above the Collin County median of $78 for similar renovation and alteration filings.

The work is scheduled to start in December 2026 and is scheduled to finish in December 2027. This 365-day build window is longer than the 92-day median scheduled window for comparable projects in the county. TDLR completed plan review in July 2026, and the current status is Review Complete.

Design and Ownership

Rawls Culver Architecture serves as the design firm of record for this project. The registered accessibility specialist is Blair Baker. TX 78 LLC has four other TDLR-registered projects totaling $5,145,618, including a TotalCare Emergency Room in Lavon and multiple buildings within the Shops of Lavon complex. Rawls Culver Architecture has six other registered projects totaling $10,412,000, spanning locations in Leander, Lavon, Aubrey, and Pflugerville.

Local Context

The site is located in ZIP code 75166, which the U.S. Census Bureau estimates has a population of about 6,679. The median household income in this area is $129,130, and the median owner-occupied home value is $385,000. The housing stock is predominantly owner-occupied, with 2,186 housing units recorded in the five-year estimates.

Collin County’s unemployment rate was 4.6 percent in July 2026, a figure higher than a year earlier. The project is privately funded on private land for private use.