Texas · Moderate

Do You Need a Medical Director for a Med Spa in Texas?

Whether Texas requires a medical director — and what that director is actually on the hook for — shapes your staffing, your liability, and your startup budget. Here's the Texas picture.

By Evan at Inside MedSpa

Medical director requirement

Required; physician medical director must oversee delegated injectors

Corporate Practice of Medicine

Moderate; MSO structures permitted with physician involvement This is the doctrine that decides whether a non-physician can own or control the practice, and it usually travels hand-in-hand with the medical-director question.

Who can supervise or delegate

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

How the exam ties in

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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