Injectables, laser treatments and other nonsurgical cosmetic procedures are the practice of medicine in Texas. A physician must examine the patient, keep written protocols and supervise whoever performs the procedure: on site, or immediately available for an emergency consultation. The Board has issued cease-and-desist orders to injectors working without a physician medical director. This is a contract and compliance cost rather than a permit fee.
Checked Oct 15, 2026 against the agency’s page.
Step 4 of 6: Get the permits for your kind of business
1Set up the business
2Register for tax
3Approve the space
4Get the permits for your kind of business
5Alcohol permits
6Before the first hire
Issued by Texas Medical Board.
Sources and dates
Texas Medical Board rule 22 TAC 169.25 (adopted January 2025, Texas Register) and the Board’s supervision FAQ. Checked against the agency’s page on the date shown; cities add their own fees.
Questions about opening here.
No. In Texas it is listed for med spas.
No. In Texas it is listed for med spas.
No. In Texas it is listed for med spas.
No. In Texas it is listed for med spas.
No. In Texas it is listed for med spas.
No. In Texas it is listed for med spas.
No. In Texas it is listed for med spas.
No. In Texas it is listed for med spas.
No. In Texas it is listed for med spas.
No. In Texas it is listed for med spas.
No. In Texas it is listed for med spas.
No. In Texas it is listed for med spas.
Yes. Injectables, laser treatments and other nonsurgical cosmetic procedures are the practice of medicine in Texas.
No. In Texas it is listed for med spas.
No. In Texas it is listed for med spas.
No. In Texas it is listed for med spas.
No. In Texas it is listed for med spas.
No. In Texas it is listed for med spas.
No. In Texas it is listed for med spas.
No. In Texas it is listed for med spas.
Texas Medical Board.
Step 4 of 6, get the permits for your kind of business. The steps before it: set up the business, register for tax and approve the space.
Who needs a physician delegation and supervision in Texas?
