Texas Oncology McAllen LINAC Upgrade

Texas Oncolgoy McAllen is undertaking a targeted for December 2027 interior renovation at 1901 South Second Street, Mcallen, TX 78503. The project, formally registered with the Texas Department of Licensing and Regulation (TDLR) in November 2026, involves a 960 gross square foot alteration of an existing linear accelerator vault and control room. This specific scope of work distinguishes the filing from general office updates, focusing on specialized medical infrastructure within the Hidalgo County facility.

Project Scope and Financials

The estimated cost for this renovation is $1,400,000, resulting in a calculated cost per square foot of $1,458. These figures place the project in the top quarter of estimated costs for renovation and alteration filings in Hidalgo County, significantly exceeding the county median of $250,000 and the median cost per square foot of $71. The registered accessibility specialist for the project is Michael Lynn Kelley, who oversees compliance with state accessibility standards during the construction phase.

Physician Reliance Investments LLC is the owner and developer of record for the property. The design work is managed by RS&H Inc, a firm with a broader portfolio of TDLR-registered projects across Texas. RS&H Inc has also registered four other projects totaling $2,906,000, including work in El Paso, Dallas, Longview, and Lubbock. This project represents a distinct investment in the McAllen medical sector, separate from the firm’s other regional activities.

Timeline and Regional Context

Construction is scheduled to begin in December 2026 and is targeted for December 2027. This 365-day build window is notably longer than the Hidalgo County median scheduled build window of 92 days for similar projects. The extended timeline likely reflects the complexity of renovating a LINAC vault, which requires precise alterations to walls, floors, finishes, doors, and ceilings, as well as modifications to mechanical, electrical, and plumbing systems.

The project is privately funded and located on private land for private use. The site is situated in ZIP code 78503, where U.S. Census ACS 2023 five-year estimates indicate a population of about 22,566 and a median household income of $48,765. Housing in the area is mostly owner-occupied, with a median home value of $130,100. Hidalgo County’s unemployment rate was 5.6 percent in September 2026, reflecting a labor market that has tightened slightly compared to the previous year. Plan review is pending with TDLR, and the project status remains registered as the firm moves toward its completion target.