Commercial Real Estate

Office and medical space

Office and medical space is judged by how well it works for your staff, clients, and patients. I compare buildings on true cost and negotiate the build-out your practice or firm needs.

Overview

Office and medical space

Office space affects how your team works, how clients see you, and what you spend each month. Medical space adds another layer: plumbing in every exam room, higher electrical loads, accessibility requirements, and easy access for patients.

Comparing offices is harder than it looks. Buildings measure space differently, include different costs in the rent, and offer different amounts toward construction. A suite that looks cheaper per square foot can cost more in practice.

I help firms and practices compare buildings on usable space and total cost, plan for growth, and negotiate the build-out and terms they need. I also work with buyers of office condominiums and small buildings.

Who This Is For

Who I help

Professional firms

Law, accounting, insurance, technology, and other offices. I match the building and location to your clients and staff.

Medical and dental practices

You need a space built for patients and equipment. I focus on buildings that can support it and landlords willing to fund the build-out.

Owners and buyers

You want to own your office instead of leasing. I compare office condominiums and small buildings against the cost of leasing.

What I Do

On your side at every step

Define your space needs

Headcount, layout, and room for growth.

Shortlist buildings

By location, quality, parking, and budget.

Compare usable space

So you are comparing what you can actually use.

Test the layout

I arrange test layouts to confirm your team fits.

Negotiate

Rent, allowance, parking, signage, and expansion rights.

Coordinate build-out

I follow construction through to move-in.

Process

How it works, step by step

01

Needs assessment

Week 1

We count people, offices, and rooms, and decide what the space must do. Medical users list equipment and plumbing needs.

02

Building shortlist

Weeks 1 to 3

I present options with rent, what is included, parking, and available allowance.

03

Tours and test layouts

Weeks 2 to 5

We tour, and the landlord's architect draws a layout for your top choices.

04

Letter of intent

Weeks 5 to 7

I submit proposals and negotiate the main terms.

05

Lease negotiation

Weeks 7 to 11

Your attorney reviews the lease while I negotiate business points.

06

Construction and move-in

2 to 6 months

The space is built to plan. Medical space takes longest.

Worked Example

Compare the space you can actually use

Suite A: 2,000 rentable sq ft at $28. About 1,740 usable sq ft after shared areas. Annual rent: $56,000.

Suite B: 1,850 rentable sq ft at $30. About 1,710 usable sq ft after shared areas. Annual rent: $55,500.

Takeaway: Suite B has the higher rate but gives you nearly the same usable space for less money. The quoted rate alone does not tell you the cost.

Illustration only. Shared-area factors vary by building.

Costs

What to budget for

Base rentQuoted per rentable square foot per year.
Operating expensesOften included up to a base amount, with increases passed through in later years.
ElectricitySometimes included, sometimes billed separately.
ParkingUnreserved spaces are often free in suburban buildings. Reserved or covered spaces may cost extra.
Build-outConstruction beyond the landlord's allowance.
Furniture and cablingDesks, data wiring, and phone systems.
After-hours air conditioningMany buildings charge for cooling outside business hours.
Medical fit-outPlumbing, cabinetry, and equipment installation.
What To Know

The terms that matter

Building class

Class A buildings are the newest with the best finishes and amenities. Class B and C are older and less expensive. The right choice depends on your clients and budget.

Rentable and usable space

You pay rent on your suite plus a share of lobbies, corridors, and restrooms. Buildings with larger shared areas give you less usable space for the same rentable figure.

Full-service leases

Many office leases bundle taxes, insurance, maintenance, and sometimes utilities into the rent, with increases over a base year passed to you.

Build-out allowance

Landlords contribute a set amount per square foot toward construction. Longer leases and stronger tenants earn more.

Parking

The number of spaces per 1,000 square feet matters, especially for practices with steady patient flow.

After-hours access

Check building hours and what cooling costs on evenings and weekends if you work or see patients then.

Medical requirements

Plumbing to each room, electrical capacity, accessibility, and patient drop-off should all be confirmed before you sign.

Lease or buy

Owning an office condominium or small building can make sense if you plan to stay for many years.

What is negotiable

What is negotiable

Base rent and increasesBuild-out allowanceFree rentNumber of parking spacesBuilding and suite signageCap on expense increasesRight to expandRenewal optionsRight to subleasePersonal guarantee limits
Before You Start

Have these ready

  • Current headcount and expected growth
  • A list of offices, rooms, and shared areas you need
  • Equipment and plumbing needs for medical users
  • Preferred locations for staff and clients
  • An all-in monthly budget
  • Business financial statements
  • Your current lease end date
Common Mistakes

What to avoid

  • — Comparing quoted rates instead of usable space and total cost.
  • — Leasing too little space for planned hiring.
  • — Overlooking parking for patients and staff.
  • — Forgetting after-hours cooling charges.
  • — Accepting a short lease after funding an expensive medical build-out.
  • — Starting the search too close to your lease end.
Questions

Frequently asked

Why work with me

An owner's perspective on every deal

2026 Top 50 Chairman's Club award

Financial training

A bachelor's degree in finance and marketing from the University of Houston and an MBA from Texas Woman's University.

Corporate experience

More than a decade in corporate roles before real estate.

Proven volume

165+ closed sales and leases across Greater Houston.

Multilingual

Negotiations and guidance in English, Hindi, and Urdu.

Commercial Inquiry

Tell me what you need

This page is general education, not legal, tax, or financial advice.

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