Texas med spa questions, answered from statute
Every question below is answered from Texas law, with the statute or board rule linked and the date we verified it. 26 of the 27 questions we ask have a verified Texas answer today, most recently checked Sep 20, 2026. The rest are not listed, because we would be guessing.
Organized by The Practice Perimeter — the decisions every state makes about an aesthetic practice.
Ownership
Who is allowed to own this business, and in what corporate form?
- Can a non-physician own a med spa in Texas?Tex. Occ. Code § 102.001(a)
- What limits does Texas place on a med spa's business structure?Tex. Occ. Code §162.001
- Can a management company run the business side of a med spa in Texas?Tex. Occ. Code §162.0021
- In Texas, may a non-clinical owner or manager be paid a share of revenue?Tex. Occ. Code § 102.001(a)
Oversight
Which physician relationship does the state require, and what must that physician actually do?
- Does a med spa in Texas need a medical director?Tex. Occ. Code §157.001
- What must the supervising physician actually do in Texas?22 TAC §169.27
- Who may operate a cosmetic laser in Texas?Tex. Occ. Code §157.001
- Can a medical assistant give injections in Texas?Texas BON Position Statement 15.3 (LVNs engaging in intravenous therapy — elective IV hydration after HB 3749)
- May an esthetician or laser technician perform microneedling in Texas?TDLR, MedSpas at a Glance, Service/Who Regulates chart (Microneedling)
Intake
What has to happen before a patient can be treated, and can any of it be remote?
- Is an exam required before a patient can be treated in Texas?22 TAC §169.26
- Can the pre-treatment exam be done by telehealth in Texas?Tex. Occ. Code §111.005(a)
- Who may perform the pre-treatment exam in Texas?22 TAC §169.26
- Must someone be on site while a patient is treated in Texas?22 TAC §169.26
- Can a med spa in Texas offer compounded semaglutide or tirzepatide?Tex. Occ. Code § 562.152
Who treats
Which license may perform which treatment, and under whose order?
- Can a registered nurse inject Botox or filler in Texas?Tex. BON Position Statement 15.11
- Can a nurse practitioner treat without a supervising physician in Texas?Texas BON Position Statement 15.18 (Nurses Carrying out Orders from Advanced Practice Registered Nurses)
- Can a physician assistant inject or prescribe in Texas?Tex. Occ. Code § 204.202(a)-(b), (e) (Scope of practice)
Facility
Does the premises itself have to be registered or licensed?
- Does a med spa have to register or hold a license in Texas?Tex. Occ. Code § 562.152
- Who must be the responsible practitioner for a med spa in Texas?Tex. Health & Safety Code §401.519
- What must a med spa in Texas report to the board?Tex. Occ. Code § 562.153
- What are the license fees to open a med spa in Texas?TDLR Barbering and Cosmetology — Fee Changes Effective 09/01/2023 (accessed 2 September 2026)
Marketing
What may this practice claim about its services, its staff, and their credentials?
Enforcement
What happens when one of the six above is crossed?
How the other states answer the same questions
One question, every state we have read against its own statute or board rule.
- Can a non-physician own a med spa, state by state51 states
- What limits does each state place on a med spa's business structure51 states
- Does a med spa in each state need a medical director51 states
- Is an exam required before a patient can be treated, state by state51 states
- Can the pre-treatment exam be done by telehealth, state by state51 states
- Can a registered nurse inject Botox or filler, state by state51 states
What is not here, and why
We ask 27 questions of every state we cover. Texas answers 26 of them from primary sources we have verified. Where a question is missing it is because the Texas record we hold does not address it — not because the answer is no. We would rather publish a shorter list than a page that looks like an answer and is not. As the Texas record grows, questions appear here on their own.
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← Texas overview · MedSpaRadar is regulatory monitoring and reference: it summarizes public laws, regulations and agency actions and links each to its source. It is not legal, medical, or compliance advice, and using it creates no attorney-client relationship. A summary can lag its source or leave out detail, and monitoring itself can be interrupted — so an absence of alerts means nothing reached you, not that nothing happened. Read the cited source, check its effective date, and confirm any change to your operations or clinical practice with qualified health-law counsel and your medical director. Legislative data via LegiScan (CC BY 4.0).