7 items, in order: certificate of formation (llc) or an assumed name certificate, employer identification number (ein), sales and use tax permit, certificate of occupancy, physician delegation and supervision (no facility license) and laser hair removal facility certificate (if offering laser hair removal), and 1 more.
How to open, Texas
How to open a med spa in Texas
7 licenses, permits and registrations, in the order to get them, each with the agency, the fee and the official page.
7 licenses, permits and registrations, in the order to get them
Every row checked against its agency’s page; the latest on Oct 15, 2026.
Set up the business
Certificate of formation (LLC) or an assumed name certificate
Forming an entity is a choice, not a license. Most owners form an LLC for the liability shield; a sole proprietor only needs the county filing when trading under a name other than their own.
Checked Oct 15, 2026
- Agency
- Texas Secretary of State; county clerk for sole proprietors
- Official page
- Members
- Fee
- Members
- Renewal
- Members
Employer Identification Number (EIN)
Needed to hire, to open a business bank account under an entity, and for most state applications below.
Checked Oct 15, 2026
- Agency
- Internal Revenue Service
- Official page
- Members
- Fee
- Members
- Renewal
- Members
Register for tax
Sales and use tax permit
Required for anyone selling goods or taxable services in Texas. Prepared food, drinks, retail goods, gym memberships and most salon products are taxable; apply online, allow two to three weeks.
Checked Oct 15, 2026
- Agency
- Texas Comptroller of Public Accounts
- Official page
- Members
- Fee
- Members
- Renewal
- Members
Approve the space
Certificate of occupancy
The certificate confirms the space is approved for your use under zoning and building code, after inspections. Get it before you open and before build-out money is committed; a space with a prior use like yours is faster.
Checked Oct 15, 2026
- Agency
- Your city building or development services department
- Official page
- Members
- Fee
- Members
- Renewal
- Members
Get the permits for your kind of business
Physician delegation and supervision (no facility license)
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
- Agency
- Texas Medical Board
- Official page
- Members
- Fee
- Members
- Renewal
- Members
Laser hair removal facility certificate (if offering laser hair removal)
One certificate per facility, plus individual certificates for the people operating the laser. A facility owned by a physician for the practice of medicine is exempt.
Checked Oct 15, 2026
- Agency
- Texas Department of Licensing and Regulation
- Official page
- Members
- Fee
- Members
- Renewal
- Members
Before the first hire
Unemployment tax account
Register within ten days of paying your first wages. Report each new hire within 20 days of their start date.
Checked Oct 15, 2026
- Agency
- Texas Workforce Commission
- Official page
- Members
- Fee
- Members
- Renewal
- Members
How they fare in Texas
- Closed in 2023, health care and social assistance
- 7.8%
- Opened in 2023
- 12.4%
Then pick the place
- The free location checkWho lives and works around an address, the med spas already there and the traffic on its road, from public records.
- The full reportWhether the rules allow a med spa at that address, the rent it supports, what has opened and closed nearby, and the questions to settle before signing.
Have an address in mind?
Check the address freeNo account. The med spa check reads public records at the address itself.
Sources and dates
Texas Secretary of State Form 205 and Form 503 instructions; Dallas County Clerk assumed names page; IRS EIN page; Texas Comptroller sales tax permit FAQ; City of Dallas certificate of occupancy page and DSD fee schedule; Texas Medical Board rule 22 TAC 169.25 (adopted January 2025, Texas Register) and the Board’s supervision FAQ; TDLR laser hair removal facility application and renewal pages; Texas Workforce Commission new employer page; U.S. Census Bureau Business Dynamics Statistics. Fees are as published by each agency on the date checked; cities add their own.