Who Can Own a MedSpa in Texas: Understanding Ownership Requirements

Who can own a MedSpa in Texas? Understanding ownership requirements is crucial for anyone looking to venture into the thriving industry of medical spas in the Lone Star State. Unlike other businesses, starting a MedSpa in Texas requires a specific set of qualifications and compliance with the regulations set forth by the Texas Medical Board. In general, only medical doctors or individuals operating under their direct supervision are eligible to own a MedSpa.

Can a RN Own a Medspa in Texas?

In the state of Texas, ownership of a MedSpa is strictly regulated, and the requirements for ownership are quite specific. This means that individuals such as registered nurses (RNs) aren’t eligible to own a MedSpa on their own.

However, there may be some limited exceptions for RNs, such as the possibility of owning minority shares in a MedSpa or serving as a minority partner with a physician or group of physicians.

Given the potential risks associated with certain cosmetic procedures, authorities believe that physician ownership is necessary to ensure proper oversight and accountability.

The regulations prioritize medical expertise and licensure when it comes to ownership, as physicians possess the necessary knowledge and training to handle potential complications and ensure the best possible outcomes for patients.

This reinforces the importance of medical oversight and ensures that only qualified professionals are responsible for providing and supervising aesthetic treatments.

This ensures that patients receive safe, reliable, and medically supervised treatments and reflects the states commitment to prioritizing patient safety in aesthetic medicine.

In this article, we will explore the process of opening a med spa in Texas as a nurse. While nurse practitioners and other non-physicians are restricted from owning a med spa, we will delve into how involvement in day-to-day operations can still be possible through a management services organization (MSO). By understanding the regulations and requirements, nurses can play a vital role in the success of a med spa while adhering to the state’s guidelines.

How Do I Open a Med Spa as a Nurse in Texas?

A management services organization (MSO) is a legal entity separate from the med spa that can provide administrative, marketing, and other support services to the medical spa. This allows non-physicians, such as nurses, to participate in the operations of a med spa without violating ownership requirements.

To open a med spa as a nurse in Texas, you’d first need to partner with a licensed physician who can serve as the medical director. The physician would be responsible for overseeing the medical aspects of the med spa and ensuring that all procedures are performed safely and within the scope of their medical practice.

Once you’ve a physician partner, you can establish an MSO and enter into a management services agreement (MSA) with the med spa. The MSA outlines the services that the MSO will provide to the med spa and establishes the financial arrangement between the parties.

It’s important to note that under Texas law, the medical director must have an active and unrestricted license to practice medicine in Texas. They must also meet any additional requirements set forth by the Texas Medical Board for serving as a medical director.

It’s necessary to adhere to all ownership requirements and follow the guidelines set forth by the Texas Medical Board to ensure compliance and provide safe and effective services to clients.

However, the situation is a bit different for chiropractors in Texas. While medical practices can only be owned by physicians, chiropractors are one of the few exceptions. They, along with podiatrists, optometrists, and sometimes physician assistants, are allowed to own a med spa. This provides chiropractors with a unique opportunity to venture into the aesthetics and wellness industry, offering a range of services to their patients.

Can a Chiropractor Own a Med Spa in Texas?

In Texas, there are specific ownership requirements for med spas that must be understood. Firstly, it’s crucial to recognize that medical practices can only be owned by physicians, with certain exceptions. These exceptions include podiatrists, chiropractors, optometrists, and sometimes physician assistants. This means that nurse practitioners or unlicensed individuals can’t form partnerships with physicians to own a med spa.

Med spas must adhere to the standards set by the Texas Medical Board and other relevant regulatory bodies. Failure to comply with these regulations can result in penalties and even the closure of the med spa.

Furthermore, it’s worth mentioning that owning a med spa requires collaboration and partnership with licensed medical professionals. Chiropractors must work alongside physicians, nurse practitioners, or other qualified medical personnel to provide the necessary medical services in the med spa. These partnerships ensure that the med spa operates within the legal framework and provides comprehensive and safe services to it’s clients.

Collaboration with licensed medical professionals is essential to ensure the medical services provided by the med spa are safe and effective.

Proper Documentation and Record-Keeping Requirements for Med Spas in Texas

  • Ensure that all patient records are complete and accurate.
  • Maintain copies of all consent forms signed by patients.
  • Record and store all medical procedures performed on patients.
  • Keep a log of any medications or treatments administered to patients.
  • Store all patient records in a secure location to protect patient confidentiality.
  • Regularly review and update patient records to ensure they’re current and relevant.
  • Document any adverse events or complications that occur during procedures.
  • Maintain a record of any training or certifications obtained by staff members.
  • Keep a record of all equipment and supplies used in the med spa.
  • Stay up-to-date with any changes or updates to Texas state regulations regarding med spa documentation and record-keeping.


To legally operate a med spa, it’s essential to either be a licensed medical doctor or operate under the supervision of one. The Texas Medical Board has specific statutes in place that govern med spa operations to ensure consumer safety and maintain the integrity of the medical profession.

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