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State rules · TX
License lookups for the boards that cover spa and med spa treatments in Texas, and what official sources say on five questions — each with its source and the date we checked.
6 official sources on 4 of 5 topics · 4 boards · 3 official lookup sites · checked Sep 25, 2026
These are research summaries of official sources, checked on the dates shown. They are not legal advice, rules change, and the linked source controls. City and other municipal rules, including a local business license or zoning, can also apply. This page is the state board only. Confirm with the board.
Ask the person treating you for their license type and number, then search the board that issued it. A title like “injector” or “specialist” isn’t a license type, so a board lookup won’t list it.
Texas Department of Licensing and Regulation (Barbering and Cosmetology)
Checked Sep 14, 2026
What to look for on the lookup
Every board’s lookup looks a little different. If something is unclear, contact the board.
Where we found an official statement, you’ll see our plain summary, the source, how binding that kind of source is, and when we checked. Where we didn’t, you’ll see the question to ask the place instead.
These are research summaries of official sources, checked on the dates shown. They are not legal advice, rules change, and the linked source controls. City and other municipal rules, including a local business license or zoning, can also apply. This page is the state board only. Confirm with the board.
We found official statements on 4 of 5 topics. Not located yet: who may own a med spa. Not located means we have nothing official to show you — it says nothing about what is allowed.
A Texas Medical Board rule lists nonsurgical medical cosmetic procedures, including cosmetic injections and cosmetic use of prescription medical devices, among medical acts the Board has determined can be properly delegated and supervised. The rule text reviewed does not spell out specific supervision, on-site presence, or prior exam requirements.
Source: 22 Tex. Admin. Code § 169.25, Other Delegation
Law or regulationPublished or effective Jan 9, 2025Checked Sep 14, 2026
Still ask the place: “Who will inject me, what license do they hold, and which clinician examined me, ordered this and supervises them?”
We haven’t found an official statement on this for Texas yet.
That doesn’t tell you whether something is allowed or not — only that we have no official statement to show you.
Ask the place
“Who owns this practice, and who is its medical director?”
Check it with the board
“Must a practice offering medical aesthetic services be owned by, or employ, a licensed physician — and must it name a medical director?”
Put this to the board, or search its rules and position statements for it. Its answer, with a date, is what settles it — not the place’s.
Who decides
Usually the medical board, sometimes alongside state health or business law.
On file for Texas: Texas Medical Board.
Texas Board of Nursing Position Statement 15.9 says delivering laser energy may be within nursing scope only with a valid order and when the nurse has the needed education, experience and knowledge. For non-ablative laser work such as laser hair removal, the procedure must be ordered by a physician, podiatrist or dentist, or by an APRN or PA working in collaboration with one, with medical back-up available. RNs, including APRNs, may not delegate any part of laser use to unlicensed persons. Position statements are Board guidance, reviewed most recently in January 2026.
Source: Texas Board of Nursing Position Statement 15.9, Performance of Laser Therapy by RNs or LVNs
Board guidance — may not be bindingPublished or effective Jan 2026Checked Sep 25, 2026
The Texas Department of Licensing and Regulation's laser hair removal FAQ says anyone who wants to perform laser hair removal (defined as using lasers or IPL devices to remove hair) must get a TDLR certificate, at one of four personnel levels. Each laser hair removal facility must register separately and have a written contract with a consulting physician; a physician's order is needed to buy a device. The FAQ says a physician may delegate the task to someone working under them without that person holding an individual certificate.
Source: TDLR Laser Hair Removal: Frequently Asked Questions
Board guidance — may not be bindingChecked Sep 25, 2026
Still ask the place: “Who operates the laser or IPL device, what license or certification do they hold, and who supervises them?”
House Bill 3749 ("Jenifer's Law") adds Chapter 172 to the Texas Occupations Code, effective September 1, 2025. It covers elective IV therapy (fluids, nutrients, medications or blood sought to relieve temporary discomfort or improve temporary wellness) given outside a physician's office, licensed health facility, mental hospital or state hospital. A physician may delegate prescribing or ordering it only to a PA or APRN, and administering it only to a PA, APRN or RN, in each case acting under adequate physician supervision.
Law or regulationPublished or effective Sep 1, 2025Checked Sep 25, 2026
Texas Board of Nursing Position Statement 15.3 says that from September 1, 2025, HB 3749 ("Jenifer's Law") limits ordering and giving elective IV hydration or vitamin infusions, and that LVNs, EMTs, paramedics and unlicensed persons may not be delegated these services. The statement also says LVNs must complete an IV validation course before doing any IV therapy. Position statements are Board guidance, reviewed most recently in January 2026.
Board guidance — may not be bindingPublished or effective Jan 2026Checked Sep 25, 2026
Still ask the place: “Who assesses me and orders what goes in the bag, and who places the IV — under which license?”
TDLR's "Medspas at a Glance" guide says estheticians, cosmetology operators and barbers may do superficial peels and microdermabrasion only when these stay in the epidermis. Medium and deep peels, and deeper treatments that reach the dermis, are medical procedures. It says these licenses do not allow using lasers for hair removal, skin resurfacing or teeth whitening, or injecting botulinum toxin or other substances. Its service table lists Botox, IV hydration and microneedling (listed with PRP/"vampire facials") under the Texas Medical Board.
Source: TDLR: Medspas at a Glance (TDLR AAG FORM-029)
Board guidance — may not be bindingPublished or effective Sep 2025Checked Sep 25, 2026
Still ask the place: “What license does the person doing this hold, and does that license cover this treatment?”
The official documents above, once each. Rules change; the linked source controls, and the date is when we last opened it.
What the menu name doesn’t tell you, and what to ask before you book.