Who can inject
MD, DO, NP, PA, RN under physician supervision or delegation
Registered nurses (RNs)
Yes, under physician delegation; scope varies by board interpretation
Nurse practitioners & physician assistants
NP/PA may inject under collaborative agreement; independent practice permitted in limited circumstances
The exam that makes it legal
Required; in-person or telehealth permitted under certain conditions A valid order or good-faith exam by an authorized provider is what makes an injection lawful — not simply who holds the syringe.
Training expected
No state-mandated injector training beyond licensure.
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.