Can an RN inject fillers and Botox in Texas?

Yes, an RN may inject under physician delegation and supervision. The supervising physician must be designated and responsible for oversight of the RN's injection practice.

Is a medical director required for a Texas medspa?

Yes, Texas requires a physician medical director for medspas that employ RNs or other delegated injectors. The medical director must oversee all delegated injection procedures.

Can a telehealth good-faith exam be used for the first visit in Texas?

Telehealth exams are allowed only if the physician has an established prior relationship with the patient. New patients must have an in-person good-faith exam before treatment.

State Regulation TrackerModerate

Medical Spa Laws in Texas

Texas enforces moderate regulatory standards with mandatory physician medical director oversight for medspas using delegated injectors. Non-physicians can own facilities through MSO structures, but RN and PA/NP injection authority is strictly delegated and supervised. The state requires good-faith exams (in-person or telehealth with established relationship) and maintains clear delegation protocols through its Medical and Nursing Boards.

By Evan at Inside MedSpa · Updated continuously

Orientation, not legal advice. Texas's rules are set and interpreted by its medical and nursing boards and can change. Confirm specifics with the Texas boards or healthcare counsel before you act.

Common questions about Texas med-spa law

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