Medical Spa Laws in Texas
Texas is a lay-ownership-friendly state for medical spas, allowing non-physicians to own facilities provided a licensed physician supervises clinical operations. The Texas Medical Board has issued guidance on RN injection scope and telemedicine, but rules continue to evolve. Owners should maintain close communication with their supervising physician and stay current with board guidance to ensure compliance.
- Who can inject
- MD/DO, NP, PA, RN under physician supervision; RN scope defined by Medical Board.
- Medical director requirement
- Required; supervising physician must oversee delegated procedures.
- Good-faith exam
- Required; in-person exam by physician before treatment; telehealth allowed for follow-ups.
- Corporate Practice of Medicine
- Lenient; lay ownership permitted with physician supervision.
- Recent regulatory activity
- Texas Medical Board has issued guidance on RN injection scope and telemedicine; verify current rules with counsel.
Do this in Texas
Consult the Texas Medical Board's current guidance on RN injection authority and ensure your supervising physician has written protocols compliant with board rules.
Texas medical spa FAQs
Can a non-physician own a medical spa in Texas?
Yes, lay ownership is permitted as long as a licensed Texas physician supervises all clinical procedures and maintains appropriate oversight and documentation.
Can an RN inject Botox or fillers in Texas?
RNs may inject under physician supervision, but the scope of permitted procedures is defined by the Texas Medical Board. Verify the current scope with your supervising physician and the board.
Is a telehealth exam acceptable for the initial good-faith exam in Texas?
No, the initial good-faith exam must be in-person by a physician. Telehealth may be used for follow-up consultations, but not for the initial treatment evaluation.
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