Can a nurse, investor, or non-physician own a medical spa in Texas?

Non-physicians may own via MSO or management agreement with supervising physician Moderate; physician involvement required but MSO structures permitted

Texas · Moderate

Can a Non-Physician Own a Med Spa in Texas?

Med-spa ownership in Texas is governed by the Corporate Practice of Medicine doctrine and the state's ownership rules. Get this wrong and the whole structure can be unlawful — here's where Texas lands.

By Evan at Inside MedSpa

Ownership rules

Non-physicians may own via MSO or management agreement with supervising physician

Corporate Practice of Medicine

Moderate; physician involvement required but MSO structures permitted

The medical-director angle

Required for facilities with non-physician injectors Ownership and the medical-director requirement are usually two sides of the same compliance coin.

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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