How to open a med spa in Texas
The four things Texas law decides before you can open: who may own the business, which physician relationship is required, what must happen before a patient is treated, and who may inject. Each area below is cited to Texas statute or board rule. Verified Jul 26, 2026.
Regulatory monitoring and reference — not legal advice. Verify against the primary source and consult counsel before acting.
1. Can you own a med spa?
Who is allowed to own the business, and in what corporate form?
Texas follows the corporate-practice-of-medicine doctrine, derived from the Medical Practice Act’s licensure requirement rather than a single titled statute.
Read all 3 Texas rules on this, with citations →2. The medical oversight you will need
Which physician relationship the state requires, and what they must do.
Cosmetic injections, fillers, and cosmetic laser use are medical acts a physician may delegate under supervision. As of Jan 9, 2025 the governing Board rules are in 22 TAC Chapter 169.
Read all 3 Texas rules on this, with citations →3. What has to happen before a patient is treated
The exam or provider-patient relationship required before the first injection.
Texas does not use the phrase “good-faith exam.” The operative requirement is establishing a practitioner-patient relationship before the delegated act.
Read all 2 Texas rules on this, with citations →4. Who may actually inject
Whether an RN, NP, or PA may treat, and under whose supervision.
A registered nurse who is not an APRN (and an LVN) may not perform medical diagnosis or prescribe, but may carry out a delegated medical act — such as administering a cosmetic injection ordered by an appropriately licensed practitioner — when the Board of Nursing’s criteria are met: documented competency/education, written policies and guidelines, an order from an appropriate licensed practitioner, and available medical and nursing support.
Tex. BON Position Statement 15.11 · verified Jul 26, 2026
5. What you can put in the syringe
GLP-1 and peptide legality is federal and moves independently of Texaslaw — a compounded product can lose its basis nationwide with no change to your state’s rules. Check current standing before you build a service line around one.
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← Opening a med spa · Regulatory monitoring and reference, not legal, medical, or compliance advice. Legislative data via LegiScan (CC BY 4.0).