Texas · Moderate

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

Q: Does a medical spa in Texas need a medical director?

Required for facilities with non-physician injectors Moderate; physician involvement required but MSO structures permitted 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.

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 facilities with non-physician injectors

Corporate Practice of Medicine

Moderate; physician involvement required but MSO structures permitted 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 physician collaboration; independent practice limited

How the exam ties in

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.

See the full Texas regulation profile →

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