Registered nurses (RNs)
Yes, under physician delegation; supervision requirements vary by board interpretation
Nurse practitioners & physician assistants
NP/PA may inject under physician collaboration; independent practice limited
Supervision & the medical director
Required for facilities with non-physician injectors
The exam requirement
Required; in-person exam required before injection
What to verify in Texas
Ensure a qualified Texas-licensed physician serves as medical director and establish written delegation protocols for all RN/NP/PA injectors; document all in-person good-faith exams.
Primary source: Texas Medical Board; Texas Board of Nursing
General business information for Texas medical-spa owners, current as of 2026 — not legal advice. State boards update rules often; confirm specifics with the Texas board (and your own counsel) before you act.