Medical Spa Laws in Texas
Texas is a moderate-to-strict state for medical spa regulation, requiring physician oversight and a medical director for injection services. The Texas Medical Board has been active in issuing guidance on delegation and telemedicine, so owners must stay current with board rules. Non-physicians may own via an MSO structure, but physician involvement is mandatory. In-person good-faith exams are the default, though telehealth may be permitted in limited circumstances.
Common questions about Texas med-spa law
Free, in depth, one page each.
- Who can inject
- MD, DO, NP, PA, RN under physician delegation; scope varies by board interpretation
- Can RNs inject?
- Yes, under physician delegation; specific protocols and supervision required
- NP / PA authority
- NP/PA may inject under physician collaboration; independent practice scope limited by state law
- Medical director
- Required for medspas offering injection services; physician oversight mandatory
- Good-faith exam
- Required; in-person exam generally expected before treatment
- Telehealth exam
- Conditional; telehealth GFE may be permitted for established patients or certain treatments; verify with board
- Corporate Practice of Medicine
- Moderate; physician ownership or MSO structure with physician oversight required
- Who can own a medspa
- Physician-owned or MSO structure with supervising physician; non-physician sole ownership not permitted for injection services
- Injector training
- No state-mandated injector training beyond licensure.
- Regulating board
- Texas Medical Board; Texas Board of Nursing
- Recent regulatory activity
- Texas Medical Board has issued guidance on telemedicine and delegation protocols; verify current rules on telehealth GFE and RN scope.
Do this in Texas
Retain a medical director and document all delegation protocols with the supervising physician; verify current Texas Medical Board guidance on telehealth GFE before launch.
Texas medical spa FAQs
Can a non-physician own a medical spa in Texas?
Non-physicians may own a medical spa via an MSO or management structure with a supervising physician, but cannot own solely if injections are offered. Physician oversight is mandatory.
Can an RN inject fillers and neurotoxins in Texas?
Yes, RNs may inject under physician delegation. The supervising physician must establish clear protocols and maintain oversight; verify specific requirements with the Texas Medical Board.
Is a telehealth good-faith exam allowed in Texas?
Conditional; in-person exams are the default, but telehealth GFE may be permitted for established patients or certain treatments. Verify current Texas Medical Board guidance before relying on telehealth for initial visits.
Go deeper
Stay ahead of every Texas rule change.
Boards and legislatures move without warning. Inside MedSpa Pro flags the moment something in Texas changes that touches your license — and tells you exactly what to do. The owners who read it never get blindsided.
Get the edge · $20/mo