Live in Medical Center

After the Second World War San Antonio was, in the words of the City's own plan, the largest city in the country without a medical school. The San Antonio Medical Foundation was formed in 1947, landowners in Oak Hills gave it 171 acres of dairy farmland in the 1950s, and in 1959 the governor signed the bill that created the South Texas Medical School. Methodist Hospital opened in 1963, the county teaching hospital that is now University Hospital in 1968, and USAA moved its headquarters to Fredericksburg Road in 1976. This guide uses the line the City draws around all of that: the Medical Center regional center of its SA Tomorrow plan, 6,188 acres between Interstate 10, Loop 410, Leon Valley and Huebner Road, adopted in October 2019. The 2020 census counted 62,186 residents inside it, 13.8% more than on the same blocks in 2010.

This is a planning area around a workplace, not a neighborhood with one name. The plan counts about 64,000 jobs and 12 hospitals inside the line, and half a dozen registered associations, from Dreamhill Estates, subdivided in 1929, to Rockwell Village. Big-lot houses went up from the late 1940s to the late 1960s, and the 1970s and 1980s brought the low apartment complexes the plan says are aging past their original intent.

Most people here rent. Renters held 24,602 of the 29,568 occupied homes in 2020, 83%, and 4,558 more stood empty. No price index follows the City's line, but ZIP code 78229 comes close: 32,084 of its 33,135 residents live inside it. Zillow put its typical home at $186,502 in August 2026, down 4.3% on the year, and 78240, which holds the other half and runs north past Huebner Road, at $264,786; the Bexar County median sale was $280,999. Because nine residents in ten are in Northside ISD, this is the one San Antonio guide where the city pages' seven-unit bill applies as it stands: 2.290174 per $100 before exemptions, about $2,438 a year for a homestead at the 78229 figure and $4,271 for a landlord; the arithmetic is on the San Antonio page. The North East ISD and San Antonio ISD edges pay a different school line.

The zoned school is the thing to check first, because it changes within a few blocks. Northside ISD publishes no zone map, only an address lookup. At the reference point it returned Oak Hills Terrace Elementary, which the state rated F (52) for 2026 and identified for comprehensive support; six addresses tried across the area returned three elementaries, three middle schools and three high schools.

Traffic is the daily cost of the jobs. The plan describes congestion all day as employees, patients and visitors move between buildings. In return the area has transit most of the North Side lacks: VIA's Medical Center Transit Center is the end of the Primo 100 to downtown, every 15 minutes on weekdays, and the 534 Wurzbach Frequent stops about 0.2 km from the reference point. FEMA puts 3.4% of the area in its 1% annual chance zone, where 2,098 residents lived in 2020, with Zarzamora Creek through the middle; the City also keeps a low-water crossing on Medical Drive west of Wurzbach Road, and flash floods reach streets outside the mapped zone.