Can a non-physician own a medical spa in Texas?

Yes, non-physicians may own a medical spa in Texas. However, if the practice offers injectable procedures, a licensed physician must oversee those services, typically through a medical director or collaborative agreement.

Can an RN inject Botox or fillers in Texas?

Yes, an RN may inject neurotoxins and fillers under physician delegation. The scope and supervision requirements are subject to board interpretation, so verify with the Texas Medical Board and Board of Nursing for your specific practice model.

Is a telehealth good-faith exam allowed in Texas?

Conditional — a telehealth GFE may be permitted if a physician-patient relationship is established and the procedure is appropriate for remote evaluation. Verify with the Texas Medical Board that your telehealth model complies with current rules.

State Regulation TrackerModerate

Medical Spa Laws in Texas

Texas permits non-physician ownership of medical spas and allows RNs, NPs, and PAs to inject under physician delegation or collaboration. The state does not mandate injector-specific training beyond licensure. A good-faith exam is required before treatment; telehealth may satisfy this requirement if the physician-patient relationship is established and the procedure is appropriate. Texas is moderately permissive but requires clear delegation protocols and physician oversight. The rules are subject to board interpretation, so owners should verify compliance with current guidance.

By Evan at Inside MedSpa · Updated continuously

Orientation, not legal advice. Texas's rules are set and interpreted by its medical and nursing boards and can change. Confirm specifics with the Texas boards or healthcare counsel before you act.

Common questions about Texas med-spa law

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