What does it cost to open a med spa in Texas?
Facility · part of The Practice Perimeter
💰 TEXAS PRICES THE PREMISES BY TYPE, AND LATE RENEWAL IS THE EXPENSIVE PART. TDLR publishes “Initial Application Fees” of “$50 for Practitioners (Class A Barbers, Cosmetology Operators & Specialty license holders)”, “$70 for Mini-Establishments” and “$78 for Barbering & Cosmetology (“Full-Service”) Establishment, Mobile & Specialty Establishments”. Practitioner renewal runs “$50 for On-time Renewals”, “$75 for Late Renewals (expired less than 18 months)”.
TDLR Barbering and Cosmetology — Fee Changes Effective 09/01/2023 (accessed 2 September 2026) · verified Sep 2, 2026 · regulatory monitoring, not legal advice
The rest of what Texas says on this
Every other rule we have verified under med-spa registration & licensing, each linked to its primary source.
⚠️ TEXAS PERMITS OFFICE-USE COMPOUNDING OUTRIGHT, WHICH FEW STATES DO. “A PHARMACY MAY DISPENSE AND DELIVER A REASONABLE QUANTITY OF A COMPOUNDED DRUG TO A PRACTITIONER FOR OFFICE USE BY THE PRACTITIONER in accordance with this chapter.” There is no commercial-availability condition and no patient-specific prescription requirement — the limit is the phrase “reasonable quantity”.
Tex. Occ. Code § 562.152 · verified Sep 2, 2026
THE CONDITIONS SIT ON THE PHARMACY, NOT THE PRACTICE. To dispense and deliver a compounded drug for office use a pharmacy must VERIFY THE SOURCE OF THE RAW MATERIALS; comply with applicable UNITED STATES PHARMACOPOEIA guidelines INCLUDING THE TESTING REQUIREMENTS, and with HIPAA; comply with all applicable competency and accrediting standards as determined by the board; and comply with board rules “including rules regarding the REPORTING OF ADVERSE EVENTS BY PRACTITIONERS and recall procedures for compounded products”. That last clause reaches back to the practice: adverse-event reporting is a practitioner duty imposed through the pharmacy’s rules.
Tex. Occ. Code § 562.153 · verified Sep 2, 2026
⚠️ AND INJECTABLES ARE STERILE, WHICH IS ITS OWN LICENSE. “A PHARMACY MAY NOT COMPOUND AND DISPENSE A STERILE PREPARATION UNLESS THE PHARMACY HOLDS A LICENSE AS REQUIRED BY BOARD RULE.” Compounded semaglutide is a sterile preparation, so the office-use permission above runs only through a pharmacy holding that separate sterile-compounding license — the first thing to ask a supplier for.
Tex. Occ. Code § 562.156(a) · verified Sep 2, 2026
The sterile-compounding pharmacy carries two clocks. It shall notify the board “IMMEDIATELY of any adverse effects reported to the pharmacy or that are known by the pharmacy to be potentially attributable to a sterile preparation compounded by the pharmacy”, and “NOT LATER THAN 24 HOURS AFTER THE PHARMACY ISSUES A RECALL” for such a preparation. A practice that has administered from a recalled lot will hear about it on that timetable.
Tex. Occ. Code § 562.156(b) · verified Sep 2, 2026
A person may not operate a laser hair removal facility without a license issued for that facility, and a separate license is required for each location. The requirement does not apply to a facility owned or operated by a physician for the practice of medicine, to a licensed hospital, or to a clinic owned or operated by a licensed hospital.
Tex. Health & Safety Code §401.510 · verified Aug 17, 2026
A laser hair removal facility must hold a written contract with a consulting physician to establish the protocols for the services it provides and to audit those protocols and the facility’s operations. The facility must document that contractual relationship with the department, and the consulting physician must be available for emergency consultation as the circumstances require.
Tex. Health & Safety Code §401.519 · verified Aug 17, 2026
And the term matters for cash-flow planning: “ESTABLISHMENT LICENSES ARE VALID FOR TWO YEARS FROM THE DATE OF ISSUE.” The same page prices the three premises types side by side — “Establishment License … $78”, “Specialty Establishment License … $78” and “Mini-Establishment License … $70” — and warns that “ALL REQUIREMENTS MUST BE MET WITHIN ONE YEAR OF THE DATE THE APPLICATION IS RECEIVED, OR THE APPLICATION WILL BE DEEMED VOID.”
TDLR — Apply for a Barbering or Cosmetology Establishment License (accessed 2 September 2026) · verified Sep 2, 2026
How other states answer this
- Alabama
- Alaska
- Arizona
- Arkansas
- California
- Colorado
- Connecticut
- Delaware
- District of Columbia
- Florida
- Georgia
- Hawaii
- Idaho
- Illinois
- Indiana
- Iowa
- Kansas
- Kentucky
- Louisiana
- Maine
- Maryland
- Massachusetts
- Michigan
- Minnesota
- Mississippi
- Missouri
- Montana
- Nebraska
- Nevada
- New Hampshire
- New Jersey
- New Mexico
- New York
- North Carolina
- North Dakota
- Ohio
- Oklahoma
- Oregon
- Pennsylvania
- Rhode Island
- South Carolina
- South Dakota
- Tennessee
- Utah
- Vermont
- Virginia
- Washington
- West Virginia
- Wisconsin
- Wyoming
Related Texas questions
- Does a med spa have to register or hold a license in Texas?
- Who must be the responsible practitioner for a med spa in Texas?
- What must a med spa in Texas report to the board?
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← All Texas rules and changes · MedSpaRadar is regulatory monitoring and reference, not legal, medical, or compliance advice. Verify against the linked primary source and consult qualified counsel before acting — rules change and turn on your specific facts. Legislative data via LegiScan (CC BY 4.0).