Can registered nurses and nurse practitioners inject Botox and fillers in Texas?

Yes, RN may inject under physician delegation and supervision NP/PA may inject under physician collaboration; independent practice limited

Texas · Moderate

Can RNs and Nurse Practitioners Inject Botox in Texas?

Nurses do most of the injecting in this industry — but Texas draws specific lines around what an RN versus an NP can do, and who has to supervise.

By Evan at Inside MedSpa

Registered nurses (RNs)

Yes, RN may inject under physician delegation and supervision

Nurse practitioners & physician assistants

NP/PA may inject under physician collaboration; independent practice limited

Supervision & the medical director

Required; physician medical director must oversee delegated injectors

The exam requirement

Required; in-person exam before treatment

What to verify in Texas

Establish a formal physician medical director agreement and ensure all RN/PA/NP delegation protocols comply with TX Medical Board and Board of Nursing standards.

Primary source: TX Medical Board, TX Board of Nursing

General business information for Texas medical-spa owners, current as of 2026 — not legal advice. State boards update rules often; confirm specifics with the Texas board (and your own counsel) before you act.

See the full Texas regulation profile →

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