Who must be the responsible practitioner for a med spa in Texas?
Facility · part of The Practice Perimeter
Short answer
A physician — the delegating physician stays responsible for delegated cosmetic acts and must approve the written order, with a physician, PA, or APRN onsite or immediately available; a laser hair removal facility needs a written consulting-physician contract.
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 · regulatory monitoring, not legal advice
Related Texas rules
⚠️ 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
How other states answer this
All 5 states side by side →Related Texas questions
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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).