Texas · Moderate

Do You Need a Medical Director for a Med Spa in Texas?

Whether Texas requires a medical director — and what that director is actually on the hook for — shapes your staffing, your liability, and your startup budget. Here's the Texas picture.

By Evan at Inside MedSpa

Medical director requirement

Required for RN/LPN injectors; physician oversight mandatory

Corporate Practice of Medicine

Lenient; MSO and non-physician ownership permitted with physician oversight This is the doctrine that decides whether a non-physician can own or control the practice, and it usually travels hand-in-hand with the medical-director question.

Who can supervise or delegate

NP/PA may inject under collaborative agreement; independent practice permitted in limited circumstances

How the exam ties in

Required; in-person or telehealth permitted under certain conditions

What to verify in Texas

Verify with the Texas Medical Board and Board of Nursing whether your specific injector scope and telehealth GFE model comply, as Texas rules allow flexibility but require clear documentation.

Primary source: Texas Medical Board and 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.

See the full Texas regulation profile →

Stay ahead of the rules that change your business.

Regulatory shifts, FDA recalls, and the moves that matter — twice a week — with Inside MedSpa Pro.

Go Pro · $20/mo

By the time it's news, it's too late.

The rebate cut, the scope-of-practice bill, the competitor opening down the street — it hits your business before the trade press ever covers it. Pro gets you there first: what happened, why it touches your margins, and exactly what to do — at 6 AM, in two minutes.

Go Pro · $20/mo

Never miss a recall or a rule change. Cancel anytime.