Top 10 Healthcare Real Estate Brokers for Med Spas and Clinics in 2026

For med spa and clinic owners looking for space. Updated October 2, 2026 · Prepared by Prospyr. Prospyr makes practice software, not real estate services, and none of the brokerages below is a Prospyr product or partner. Each summary reflects what the firm publishes on its own website, checked October 2026. Commission arrangements, lease terms and coverage areas change, so confirm everything in writing before you sign a representation agreement.

What does a healthcare tenant rep broker do for a med spa or clinic?

A healthcare tenant rep broker finds, negotiates and secures clinic space while working only for you, not the landlord. For a med spa or clinic, that means checking that the lease and zoning allow medical procedures, finding space that can take treatment rooms, sinks, upgraded HVAC and electrical for lasers, and negotiating rent, free months, tenant improvement (TI) allowance, exclusivity and renewal options. Most firms state that the landlord pays their commission, so the practice usually pays nothing directly. The real differences are coverage area, medical focus, and whether the firm also represents landlords.

The 10 healthcare real estate brokers at a glance

How we chose this list

We looked for brokerages that focus on healthcare tenants or run a dedicated medical tenant practice, then checked four things a practice manager can confirm before a first call:

• Medical focus. Does the firm work mainly or only with healthcare tenants? Firms that name med spas, aesthetics, dermatology or plastic surgery on their own site ranked higher.
• Who the firm represents. Tenant-only firms avoid the conflict of representing the landlord on the other side. Several firms here do both, and we say so.
• Published fee model. Whether the firm states how it gets paid.
• Coverage. National reach versus a defined region. A regional specialist in your city can beat a national name.

We excluded firms whose site did not describe tenant representation, and business brokers that sell practices rather than lease space. The order is our editorial view, not a measure of results.

1. CARR

CARR describes itself as "the nation's leading provider of commercial real estate services for healthcare tenants and buyers" and lists coverage in all 50 states. Its specialties include medical, dental, chiropractic, therapy, pharmacy, fitness, vision care and veterinary practices. Services cover start-ups, renewals, expansions, relocations, additional locations, purchases and practice acquisitions, with market evaluation, site selection and competition studies.

What stands out:

• Fee model in writing. CARR's own guide states that tenant representation "comes at no cost to you in the majority of scenarios, as the commission is paid for by the landlord."
• Med spa experience. An agent page on CARR's site carries a testimonial from Richard Hanson, PA-C, of Sante Clinic & Med Spa about negotiating lease terms for a new clinic.
• Scale. The site reports 1,000+ five-star reviews and "thousands" of practices helped each year.

Right for: a first location or an added location anywhere in the US, especially if you want one firm across several markets. Ask: who your local agent is, how many aesthetic or med spa leases that agent has done, and which situations fall outside the landlord-paid commission.

2. MedWest Realty

MedWest Realty is a healthcare-only commercial brokerage headquartered in Newport Beach, California, with offices in La Jolla, Henderson, Nevada and North Palm Beach, Florida. It lists aesthetics among its healthcare markets, alongside surgery centers, dental, imaging, primary and specialty care, urgent care and others.

What stands out:

• Aesthetics by name. It is one of the few brokerages we found that lists aesthetics as its own market.
• Reported volume. MedWest reports $125,000,000+ in annual transactions, 2,000,000+ square feet of medical buildings represented and 600+ medical professionals served over 36 months.

Right for: med spas and aesthetic practices in Southern California, Las Vegas or South Florida. Ask: MedWest also offers landlord representation and investment sales, so ask how it handles a building where it represents the owner.

3. Practice Real Estate Group

Practice Real Estate Group, founded in 2014 and headquartered in Austin, Texas, helps healthcare practices lease, buy and develop space across the US. It reports serving 1,000+ healthcare practices. Its examples include facial plastic surgery, dentistry, optometry, pediatrics and veterinary practices, and its city pages include an article on getting a med spa location right.

What stands out:

• Fee stated. Its city pages state: "Landlords cover our commission, so this protection adds no cost."
• Research before touring. It lists demographic and competitive analysis reports and site selection research as services.
• Ownership path. It also handles purchases and custom development, useful if you plan to own your building later.

Right for: practices that want data behind the location choice, in nearly any US metro. Ask: whether a local partner or a Practice Real Estate Group advisor will tour with you in your market.

4. Impact Commercial

Impact Commercial is a Colorado commercial brokerage with a medical tenant representation practice. Its medical page names "med spas, aesthetics & elective treatment clinics" alongside primary care, dental, vision, therapy, urgent care and veterinary tenants. Services include tenant and buyer representation, lease renewal advice, build-out strategy and sale-leasebacks, and the firm states it knows medical zoning and ADA requirements.

Right for: med spas opening or relocating in the Denver area and the rest of Colorado. Ask: recent med spa leases it has closed, and how it handles build-out strategy for laser and injectable rooms.

5. Lee & Associates Healthcare Real Estate

Lee & Associates runs a healthcare real estate group within a large brokerage that operates across North America. It advises health systems, physician groups, independent practices, investors and landlords on leases, purchases, sales and relocations. Services include buy-versus-lease analysis, gap analysis, demographic and GIS analysis, and lease administration, and it notes awareness of Stark Law and Anti-Kickback rules.

What stands out: the firm states it keeps separate teams for providers and for landlords to keep representation conflict-free.

Right for: multi-location groups or practices weighing whether to buy. Ask: which local office covers your market and whether that team has done med spa or retail-medical leases.

6. Shelton & Associates

Shelton & Associates provides "100% tenant-only, conflict-free medical office tenant representation across California," with offices in San Diego, Orange County, the Inland Empire and Palo Alto. It represents doctors, dentists, medical groups, behavioral health and outpatient practices on renewals, relocations, expansions, TI negotiation and operating expense reviews.

What stands out: it states, "We never represent landlords or list buildings," and that tenants usually pay nothing because fees come through the landlord's leasing commission.

Right for: California practices that want a broker with no listing conflicts. Ask: its experience with retail or mixed-use space, where many med spas sit, versus medical office buildings.

7. Medical Space Advisors

Medical Space Advisors has represented healthcare tenants in Texas since 2001, with offices in Dallas-Fort Worth, San Antonio/Austin and Houston. It lists physicians, dermatology and optical practices among those it serves, and covers first offices, relocations, added locations, renewals and purchases with demographic and competition analysis.

Right for: Texas med spas and dermatology-adjacent practices. It states, "Our fee is paid by the building owner," and that it "entirely represent[s] your interests." Ask: how many aesthetic tenants it has placed in retail centers versus medical office buildings.

8. MedCore Partners

MedCore Partners is a Dallas healthcare real estate group offering tenant representation, landlord representation, acquisitions, build-to-suit development and project management. It states that its fees "come from the property owners" and that it typically saves its tenants 20 to 25% on each transaction.

Right for: Dallas-Fort Worth practices that may want a build-to-suit or development partner later. Ask: how it measured the 20 to 25% savings figure, and how it separates its landlord and tenant work in the same market.

9. Health Pro Realty Group

Health Pro Realty Group (HPRG) is a healthcare brokerage for medical and dental offices with listings in Maryland, Virginia and Washington, DC. It reports 35+ years in business, serving 5,000+ practices and owners, 10,000+ transactions and $300+ million saved. Services include tenant and landlord representation, leasing and renewals, relocation and expansion planning, site selection, and practice acquisition support.

Right for: med spas and clinics in the DC, Northern Virginia and Maryland region. Ask: its experience with aesthetic tenants, since its site centers on medical and dental offices.

10. Hokanson Companies

Hokanson Companies, headquartered in Carmel, Indiana, with offices in Indiana, Ohio and Michigan, offers medical tenant representation alongside construction management, property management and development. Its medical tenant guide is written for physicians and practice administrators negotiating their first lease.

Right for: Midwest practices that want brokerage and construction coordination from one firm. Ask: how it keeps construction and brokerage incentives separate, and how it is paid as your tenant rep.

Questions to ask any healthcare real estate broker

1. Do you represent landlords? If yes, get a written conflict policy and confirm the firm cannot represent the owner of a building it shows you.
2. How are you paid, and when would I pay? Most firms are paid by the landlord. Ask what happens if a landlord refuses to pay a commission or if you buy instead of lease.
3. Can this space legally host medical procedures? Ask the broker to confirm zoning, the lease's permitted-use clause and any medical waste or signage rules before you sign a letter of intent.
4. What TI allowance and free rent should I expect here? Ask for recent comparable deals in the submarket, not national averages.
5. Will you negotiate exclusivity? A clause barring another med spa or aesthetic tenant in the same center can protect your patient base.
6. How many med spa or aesthetic leases have you closed in the last two years? Ask for references you can call.
7. Who handles the build-out? Find out whether the broker coordinates with your architect and contractor, or hands you off after the lease is signed.

For the build-out itself, see our lists of medical office architects and contractors and med spa interior designers.

Where Prospyr fits

A broker gets you the right room; your practice software decides how many patients you can book into it. Before you sign for a second location, check that your scheduling, inventory and reporting can run across sites. Prospyr handles multi-location practices and online scheduling in one system, or you can book a practice demo.

Frequently asked questions

Do I have to pay a tenant rep broker to lease space for my med spa?

Usually not. Most healthcare tenant rep firms on this list state that the landlord pays their commission, so the practice pays nothing directly. Ask for that in the representation agreement, and ask what happens if the landlord won't pay.

Should a med spa lease retail space or a medical office building?

It depends on your treatment mix and how patients find you. Retail centers bring visibility and parking for walk-in, cash-pay services, while medical office buildings usually have the plumbing, electrical and zoning already in place for clinical work. A healthcare broker can price both and show you the build-out difference.

What lease terms matter most for a med spa?

Permitted use, TI allowance, exclusivity and renewal options matter most. The lease must allow medical procedures, the TI allowance should cover treatment rooms, sinks and laser electrical, and an exclusivity clause can keep a competing med spa out of the same center.

How long does it take to find and open in new clinic space?

Plan for several months between your first tour and your first patient. Search and negotiation often take weeks to a few months, and design, permits and build-out add more time. Ask your broker and contractor for a timeline based on your market and the space's condition.

Want your company considered?

We review this list quarterly. Brokerages that serve med spas and clinics can send their website and what they offer practices to info@prospyrmed.com. Inclusion is editorial and not paid.

Editorial scope

This list is based on each firm's public website, checked October 2026 with AI-assisted research. Firms did not review this article before publication. It is not a guarantee of results or a substitute for checking references and real estate licensure in your state. Read our methodology or report a correction.