STATE REFERENCE · MED SPA OVERSIGHT
Texas: med spa oversight directory.
Texas — med spa oversight and injector scope rules. Medical board: Texas Medical Board. Corporate practice of medicine: Not verified.
This page lists who oversees a med spa in Texas and where the published rules sit: the medical board, the board of nursing, any other regulator that reaches aesthetic practices, the state's position on the corporate practice of medicine, a summary of what the published rules say about who may perform delegated cosmetic procedures, and the Good Faith Exam requirement.
It is built for med spa owners and medical directors who need the state's own sources in one place. It contains no clinical guidance — nothing here says how to perform a procedure — and it is a dated research snapshot for your own confirmation, not legal or medical advice.
Texas, field by field.
- Medical board
- Texas Medical Board
- Board of nursing
- Texas Board of Nursing
- Other regulator
- Texas Medical Board delegation rules sit in 22 Tex. Admin. Code Chapter 169. Also ask about the Texas Department of Licensing and Regulation and the Texas Department of State Health Services for laser/energy-device and facility questions, and the Texas Department of Licensing and Regulation for cosmetology scope — none of those jurisdictions is confirmed here.
- Corporate practice of medicine
- Not verified
- Injector scope summary
- Texas Medical Board rules place nonsurgical medical cosmetic procedures inside the delegation regime. 22 Tex. Admin. Code § 169.25 ("Other Delegation"), effective 2025-01-09, identifies as delegable medical acts "nonsurgical medical cosmetic procedures, including but not limited to the injection of medication or substances for cosmetic purposes, the administration of colonic irrigations, and the use of a prescription medical device for cosmetic purposes." WHICH LICENCE LEVELS MAY RECEIVE THAT DELEGATION, AND AT WHAT SUPERVISION LEVEL, IS NOT ESTABLISHED BY THIS ROW — read the full Chapter 169 subchapter and the Texas Board of Nursing's own position before you assume.
- Good Faith Exam rule
- 22 Tex. Admin. Code § 169.26 ("General Standards"), effective 2025-01-09, requires that before a delegated medical act is performed the physician or qualified practitioner "establish a practitioner-patient relationship," "complete and maintain an adequate medical record in accordance with Chapter 163," "disclose the identity and title of the individual who will perform the delegated act," and "ensure at least one person trained in basic life support is present while the patient is onsite." TELEHEALTH ACCEPTABILITY FOR ESTABLISHING THAT RELATIONSHIP IS NOT ADDRESSED HERE AND IS NOT VERIFIED.
Where this comes from.
Regulators. Texas Medical Board · Texas Board of Nursing
Cited. 22 Tex. Admin. Code §§ 169.25 and 169.26, both effective 2025-01-09. The former 22 Tex. Admin. Code § 193.17 ("Nonsurgical Medical Cosmetic Procedures") WAS REPEALED effective 2025-01-09 (Texas Register vol. 50 no. 2, 10 January 2025, 50 TexReg 0422) — anything still citing § 193.17 is out of date. Rule text read 2026-08-15 on Cornell LII's mirror of the Texas Administrative Code, a SECONDARY source; the official TAC is published by the Texas Secretary of State and should be read there before you rely on this.
Status. Partially verified — some rules cited, last verified 2026-08-15. Start with the medical board and board of nursing links — they are the primary sources. Read the injector-scope summary as a pointer into the cited rule, not as the rule itself, and settle the corporate-practice question with counsel in your state before signing any ownership or medical-director agreement. Patients are patients, the exam is a Good Faith Exam, and consent is informed consent.
What to confirm.
Two things to settle. First, read §§ 169.25 to 169.29 in full on the Texas Secretary of State's official Texas Administrative Code site, because this row read them on a mirror. Second, ask the Texas Medical Board in writing: to whom may I delegate injectables and energy-device treatments, what must the written order contain, and may the practitioner-patient relationship be established by telehealth? Ask the Texas Board of Nursing the same question from the nursing side. Treat any guide that still cites § 193.17 as stale.
Texas, answered from the row.
Who regulates med spas in Texas?
Texas Medical Board · Texas Board of Nursing · Texas Medical Board delegation rules sit in 22 Tex. Admin. Code Chapter 169. Also ask about the Texas Department of Licensing and Regulation and the Texas Department of State Health Services for laser/energy-device and facility questions, and the Texas Department of Licensing and Regulation for cosmetology scope — none of those jurisdictions is confirmed here.
What is the Good Faith Exam rule in Texas?
22 Tex. Admin. Code § 169.26 ("General Standards"), effective 2025-01-09, requires that before a delegated medical act is performed the physician or qualified practitioner "establish a practitioner-patient relationship," "complete and maintain an adequate medical record in accordance with Chapter 163," "disclose the identity and title of the individual who will perform the delegated act," and "ensure at least one person trained in basic life support is present while the patient is onsite." TELEHEALTH ACCEPTABILITY FOR ESTABLISHING THAT RELATIONSHIP IS NOT ADDRESSED HERE AND IS NOT VERIFIED.
What do the published Texas rules say about injector scope?
Texas Medical Board rules place nonsurgical medical cosmetic procedures inside the delegation regime. 22 Tex. Admin. Code § 169.25 ("Other Delegation"), effective 2025-01-09, identifies as delegable medical acts "nonsurgical medical cosmetic procedures, including but not limited to the injection of medication or substances for cosmetic purposes, the administration of colonic irrigations, and the use of a prescription medical device for cosmetic purposes." WHICH LICENCE LEVELS MAY RECEIVE THAT DELEGATION, AND AT WHAT SUPERVISION LEVEL, IS NOT ESTABLISHED BY THIS ROW — read the full Chapter 169 subchapter and the Texas Board of Nursing's own position before you assume.
Not legal or medical advice, and nothing on this page is clinical guidance. Every row is a dated snapshot of published sources; confirm every entry with the boards named and your own counsel before relying on it.
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