Texas scope of practice for med spas
Who may perform which procedures, and under what supervision, by state. Below are the Texas rules that govern it, each linked to its primary source. Monitoring and reference, not legal advice.
RN / NP scope for injectables in Texas
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
For laser therapy performed by RNs or LVNs, the Board of Nursing directs nurses to the Texas Medical Board’s delegation rule for nonsurgical cosmetic procedures and to the Health & Safety Code’s laser provisions.
Tex. BON Position Statement 15.9 · verified Jul 26, 2026
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