The San Antonio Kidney Disease Center in Kirby, Texas is a 12,000 s.f. facility that houses offices for Doctors as well as space for dialysis and medical treatment of kidney disease.  The project was designed using a pre-engineered metal building structure with a brick exterior, providing a very economical building shell.  The Doctors’ Offices were finished out within the shell structure as a part of the initial work and a plumbing leave-out was utelized to facilitate the design and construction of the dialysis facility at a later date.