Does a med spa in Texas need a medical director?
Oversight · part of The Practice Perimeter
Cosmetic injections, dermal fillers and cosmetic laser use are medical acts a Texas physician may delegate to a qualified, properly trained person under supervision — with a written order that identifies the physician and sets patient-screening criteria. ⚠️ laser hair removal sits outside that route entirely: it is separately licensed under the Health & Safety Code, on a tiered certificate.
Drawn from 9 verified rules in this section · regulatory monitoring, not legal advice
- Tex. Occ. Code §157.001 · Jul 26, 2026
- 22 TAC §169.25 · Jul 26, 2026
- 22 TAC §169.27 · Jul 26, 2026
- Tex. Health & Safety Code §401.504 · Aug 17, 2026
- Tex. Health & Safety Code §401.505, §401.506 · Aug 17, 2026
- TDLR, MedSpas at a Glance, Service/Who Regulates chart (Microneedling) · Sep 20, 2026
- TDLR Barbering and Cosmetology — Medical Spas guidance · Sep 2, 2026
- TDLR Barbering and Cosmetology — Medical Spas guidance · Sep 2, 2026
- Texas BON Position Statement 15.3 (LVNs engaging in intravenous therapy — elective IV hydration after HB 3749) · Sep 8, 2026
Related Texas rules
A Texas physician may delegate a medical act — including cosmetic injections, dermal fillers, and cosmetic laser use — to a qualified, properly trained person acting under the physician’s supervision, where a reasonable and prudent physician would find it consistent with sound medical judgment. The delegating physician remains responsible for the delegated act.
Tex. Occ. Code §157.001 · verified Jul 26, 2026
The Texas Medical Board classifies nonsurgical medical cosmetic procedures — including the injection of medications or substances for cosmetic purposes and the use of a prescription medical device for cosmetic purposes — as the practice of medicine that may be properly delegated and supervised.
22 TAC §169.25 · verified Jul 26, 2026 · read at Cornell Legal Information Institute
How other states answer this
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Related Texas questions
- What must the supervising physician actually do in Texas?
- Who may operate a cosmetic laser in Texas?
- Can a medical assistant give injections in Texas?
- May an esthetician or laser technician perform microneedling in Texas?
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← All Texas rules and changes · 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).