Med Spa Attorney Texas | Medical Spa Legal Guide

Who Can Own a Med Spa in Texas? Ownership Rules Explained

Doris Dike — Wed, 01 Jul 2026 19:40:21 +0000

You have the business plan, the location scouted, and the services mapped out. But before you sign a lease or hire a single injector, there is one question that can make or break your med spa before it ever opens: who can legally own a med spa in Texas?

It is one of the most common questions aspiring med spa owners ask, and the answer is more nuanced than most people expect. Texas has strict rules around who can own and control a medical practice, and a med spa, by its very nature, sits squarely in that territory.This guide breaks down the Texas med spa ownership rules in plain language, explains the legal structures that make non-physician ownership possible, and helps you understand the compliance framework you need to build from day one.Whether you are a nurse practitioner, an esthetician, an entrepreneur with no clinical background, or a physician looking to scale, this article is for you.

What Counts as a Med Spa in Texas?

Before discussing ownership, it helps to understand what Texas law considers a medical spa. The definition has real legal consequences for how your business must be structured.

A med spa, or medical spa, is a hybrid facility that combines aesthetic services with medical treatments. The services often include Botox injections, dermal fillers, laser treatments, chemical peels, PRP therapy, and similar procedures that require medical oversight, prescriptions, or a licensed clinical practitioner to administer them.

Because these services are medical in nature, Texas regulators do not treat a med spa the same way they treat a traditional day spa or salon. According to the Texas Medical Board (TMB), any entity providing medical services is subject to the laws governing medical practice in the state.

That means the Corporate Practice of Medicine doctrine applies. And that changes everything about how your business must be structured.

For a deeper look at what legally qualifies as a med spa in Texas, visit our page on what is considered a med spa in Texas.

What Is the Corporate Practice of Medicine Rule?

The Corporate Practice of Medicine (CPOM) doctrine is the foundational legal concept every med spa owner in Texas must understand. It is the reason you cannot simply form an LLC, hire a physician, and call it a day.

Texas law prohibits unlicensed individuals and non-physician business entities from practicing medicine or controlling the medical decisions of a licensed physician. In simple terms, a regular business corporation or LLC, owned by a non-physician, cannot be the entity that employs physicians or delivers medical services directly to patients.

The policy behind this rule is patient protection. Texas lawmakers and regulators believe that medical decisions should remain in the hands of licensed medical professionals, free from commercial pressure or corporate control.

How Does CPOM Affect Med Spas Specifically?

Since many med spa services are classified as medical procedures, they fall under the CPOM umbrella. That means the entity providing those services must be physician-owned or structured in a way that complies with CPOM requirements.

Violating CPOM rules can result in the revocation of medical licenses, civil penalties, and the forced dissolution of your business structure. The consequences are serious, and they happen more often than people expect.

You can read a detailed breakdown of this issue on our page about the Corporate Practice of Medicine doctrine for non-physician buyers in Texas.

“The Corporate Practice of Medicine doctrine is not just a technicality. It is an active enforcement priority in Texas, and med spas are one of the industries regulators watch most closely.”

Who Can Own a Med Spa in Texas?

Texas law draws a clear line between who can own the medical practice side of a med spa and who can own the business operations side. These are not always the same person, and understanding the distinction is critical.

Physicians

Licensed physicians can own and operate a med spa directly. They can form a Professional Limited Liability Company (PLLC) or a Professional Association (PA) to hold the medical practice, employ or contract with other providers, and supervise the delivery of medical services.

Physicians have the most straightforward path to med spa ownership in Texas because the CPOM doctrine was designed around physician control. A physician-owned med spa does not require the same layered legal structure that non-physician owners need.

Nurse Practitioners and Physician Assistants

This is where things get more complex. Nurse practitioners (NPs) and physician assistants (PAs) are advanced practice providers with clinical training, but they are not physicians under Texas law. As a result, they cannot directly own the medical practice entity that delivers physician-level medical services.

However, NPs and PAs can own the business operations side of a med spa through a management structure, provided the medical side remains under physician control. We discuss how this works in the MSO section below.

For more detail on NP practice authority, see our article on NP scope of practice and registration in Texas. Also see whether nurse practitioners can practice independently in Texas.

Non-Clinicians and Entrepreneurs

Business owners, investors, and entrepreneurs without any clinical license can own a med spa in Texas. But they cannot own it outright as a standalone medical practice. They must use a specific legal structure, typically involving a Management Services Organization (MSO), to separate business ownership from medical practice ownership.

This is a well-established and legally sound model when properly structured. Many successful Texas med spas are built this way.

Can a Registered Nurse Own a Med Spa?

A registered nurse (RN) faces similar restrictions to an NP. The RN cannot own the medical practice entity directly, but can participate in ownership of the non-medical business side through an MSO structure. The medical oversight function must still rest with a licensed physician.

Read our breakdown of whether a nurse can open a med spa in Texas for the full picture.

**Med Spa Ownership Eligibility in Texas at a Glance**
Owner Type	Can Own Medical Entity Directly?	Can Use MSO Structure?	Needs Physician Partner?
Licensed Physician (MD/DO)	Yes	Optional	No
Nurse Practitioner	No	Yes	Yes
Physician Assistant	No	Yes	Yes
Registered Nurse (RN)	No	Yes	Yes
Non-Clinician / Entrepreneur	No	Yes	Yes
Esthetician / Cosmetologist	No	Yes (limited scope)	Yes

Can a Non-Physician Own a Med Spa in Texas?

Yes, but with the right legal structure in place. This is one of the most important things to understand about Texas med spa law, because many aspiring owners assume the answer is simply “no.”

Non-physicians cannot directly own a Texas medical practice entity. But they can own the business that manages and supports that medical practice. This separation is not just a legal workaround; it is a recognized and compliant model when executed correctly.

The key is that the physician, not the business owner, retains genuine control over all medical decisions. The non-physician owner controls the business operations, the brand, the marketing, the staffing of non-clinical roles, and the physical space. But they do not direct clinical care.

What Does “Control” Mean in This Context?

Regulators and courts look beyond paper ownership to determine who actually controls the medical practice. If a non-physician owner is telling the physician what treatments to offer, what protocols to use, or how to handle patient complaints, that may be viewed as practicing medicine without a license.

This is why the legal structure must be carefully built, not just filed. The Management Services Agreement (MSA) between the MSO and the medical practice must draw a clear line between business functions and clinical functions.

Explore how this works in detail on our guide for non-physicians owning and operating a med spa in Texas.

How Does the MSO Model Enable Non-Physician Ownership?

The Management Services Organization (MSO) model is the most widely used legal framework for non-physician med spa ownership in Texas. When properly set up, it allows a business owner to own and control the commercial side of the med spa while remaining compliant with the CPOM doctrine.

How Does the Two-Entity Structure Work?

The MSO model typically involves two separate legal entities:

The Professional Entity (PC or PLLC): This is the medical practice. It must be owned by a licensed physician. It employs or contracts with clinical providers and delivers medical services to patients. This entity holds all clinical authority.
The Management Services Organization (MSO): This is a standard LLC or corporation that can be owned by anyone, including non-physicians. It provides non-clinical business services to the medical practice under a Management Services Agreement (MSA). Services may include billing, marketing, HR, IT, facility management, and equipment leasing.

The MSO earns revenue by charging the medical practice a management fee for these services. The fee must be commercially reasonable and not structured as a profit-sharing arrangement, which would raise anti-kickback concerns.

What Must the Management Services Agreement Cover?

The MSA is the legal contract that governs the relationship between the MSO and the medical practice. A well-drafted MSA must:

Clearly define which functions the MSO manages and which remain under physician control
Set commercially reasonable management fees that reflect fair market value
Preserve physician authority over all clinical decisions, treatment protocols, and patient care
Comply with the federal Anti-Kickback Statute and Texas state law
Include termination provisions that do not improperly constrain the physician’s ability to exit

A poorly drafted MSA is one of the most common legal vulnerabilities we see in med spa structures. Do not treat it as a template document.

For a detailed explanation of how MSOs work in the Texas healthcare context, see our guide on Texas Management Services Organizations and our article on the MSO model for med spas explained.

Is the MSO Model Specific to Med Spas?

No. The MSO model is used widely across Texas healthcare, including physician practices, dental offices, behavioral health clinics, and telehealth businesses. It is a mature and accepted structure. But the way it is applied to med spas has specific nuances that require careful legal planning.

Our blog on the growing role of MSOs in Texas healthcare provides helpful context on how this model has evolved statewide.

What Does a Physician-Owned Med Spa Look Like?

If you are a licensed physician, you have the most direct route to med spa ownership. You can form a PLLC or Professional Association under your own license and operate the med spa under that entity.

That said, many physician-owned med spas still use an MSO structure, not because they are required to, but because it offers operational and financial advantages. For example, a physician may form an MSO to separate the revenue streams from the professional entity, to bring in a business partner who is not a physician, or to create a scalable structure for multiple locations.

What Supervision Requirements Apply to Physician-Owned Med Spas?

Even when a physician owns the practice, Texas law requires appropriate supervision of all clinical staff. The Texas Medical Board has issued guidance on what constitutes adequate supervision for procedures performed by non-physician providers.

Physicians must ensure that:

All medical procedures are authorized through valid prescriptions or standing orders
Clinical staff operate within the scope of their individual licenses
The physician is accessible for consultation and is not functioning as a “ghost” medical director with no real involvement in patient care

The Texas Medical Board’s disciplinary records include multiple cases involving physicians who delegated medical services improperly at aesthetic practices. These are not hypothetical risks.

See also our article on operating a med spa in Texas for physician-specific considerations.

What Role Does the Medical Director Play in a Med Spa?

The Medical Director is one of the most important figures in any Texas med spa that is not directly physician-owned. Many non-physician-owned med spas rely on a contracted physician to serve as Medical Director, providing the physician oversight that Texas law requires.

But this role is not just a name on a wall. A Medical Director must have genuine involvement in the practice.

What Are the Legal Responsibilities of a Med Spa Medical Director?

Under Texas Medical Board rules, a Medical Director in a med spa setting is typically responsible for:

Developing and approving clinical protocols and treatment guidelines
Reviewing and authorizing standing orders for injectable treatments and other medical services
Supervising licensed providers who perform medical procedures
Ensuring that all services offered are within the scope of licensed practitioners
Being available for clinical consultation, in person or by telemedicine

A Medical Director who is merely lending their license in exchange for a fee, with no real involvement in the practice, violates Texas Medical Board rules and exposes both themselves and the business owner to serious legal risk.

Read our detailed breakdown of the role of a Medical Director at a medical spa and our guidance on finding the right Medical Director for your med spa.

What Should a Medical Director Agreement Include?

The Medical Director Agreement is a legally binding contract between the physician and the med spa. It must clearly define:

The scope of the physician’s responsibilities
Compensation arrangements that comply with fair market value standards
Time commitment and availability requirements
Protocols for patient emergencies and escalations
Termination and transition provisions

For more on how these contracts are structured, visit our page on what is a medical director agreement.

What Legal Structures Can a Med Spa Use in Texas?

Getting the legal structure right is as important as getting the medical oversight right. The entity type you choose affects liability protection, tax treatment, ownership rights, and regulatory compliance.

PLLC vs. LLC: What Is the Difference for a Med Spa?

**PLLC vs. LLC for Texas Med Spas**
Feature	PLLC (Professional LLC)	LLC (Standard)
Who Can Own It	Licensed professionals only (e.g., physicians)	Anyone, including non-physicians
Used For	Medical practice / professional entity side	MSO / business operations side
Regulated By	Texas Medical Board + Secretary of State	Texas Secretary of State
Liability Protection	Yes, with some professional exceptions	Yes
Medical Services	Can be delivered directly	Cannot deliver medical services directly

For a full comparison of these structures in the healthcare context, see our article on LLC vs. PLLC healthcare business structures.

Can a Med Spa Be a Professional Association (PA)?

Yes. In Texas, physicians can also use a Professional Association (PA) as their medical practice entity. This is functionally similar to a PLLC for most purposes, but it has different structural requirements and is less common for new practices today. Most healthcare attorneys in Texas recommend PLLCs for their flexibility.

Do You Need a Separate Entity for Each Location?

Not necessarily. The right multi-location structure depends on your liability strategy, tax planning, and operational model. Some med spa groups use a single PLLC for all clinical operations and a single MSO to manage all locations. Others prefer entity separation per location for liability insulation.

This is a key planning question your healthcare attorney should address early in your build-out. See our overview on Texas medical business formation for context.

What Compliance Requirements Come With Med Spa Ownership in Texas?

Owning a med spa in Texas means taking on a range of ongoing compliance obligations. These are not one-time boxes to check. They require active management and regular review.

Licensing Requirements

Texas requires various licenses depending on the services you offer. At minimum, most med spas need:

A physician owner or Medical Director with an active Texas medical license in good standing
All clinical providers licensed in their respective fields (RN, NP, PA, esthetician, etc.)
A facility license if the practice meets certain thresholds for surgical or invasive procedures

The Texas Health and Human Services Commission (HHSC) oversees facility licensing for certain healthcare settings in Texas.

For a complete breakdown of licensing requirements, see our article on what license do you need to open a medical spa in Texas.

HIPAA Compliance

Med spas collect protected health information (PHI) from patients. That makes them covered entities under HIPAA. You must have:

Privacy and security policies in place
Business Associate Agreements (BAAs) with vendors who handle PHI
Staff training on HIPAA requirements
A breach notification protocol

Anti-Kickback and Stark Law Considerations

The federal Anti-Kickback Statute and the Stark Law govern financial relationships between healthcare providers and entities that refer Medicare or Medicaid patients. If your med spa bills federal health programs at any point, these laws apply to how you structure your Medical Director compensation and your MSO management fees.

Even if you do not currently bill federal programs, building your structure with these rules in mind protects you if that changes. Read our guide on fundamental concepts of Stark Law and the Anti-Kickback Statute.

Scope of Practice and Delegation Rules

Texas law is specific about which procedures can be delegated to which providers and under what supervision requirements. For example:

Botox injections may be administered by an RN under physician delegation and supervision
Laser treatments require specific training and supervision depending on the device and the procedure
Certain procedures cannot be delegated to unlicensed individuals, regardless of training received

Our article on who can perform injectable treatments in a medical spa covers these rules in depth. Also see our guide on cosmetic injections and who can administer them in Texas.

Telehealth and Good Faith Exams

Many Texas med spas now offer telehealth consultations and rely on remote physicians for patient intake. This creates additional compliance obligations around good faith exam requirements, consent documentation, and prescribing rules.

Review our guidance on telehealth good faith exams and compliance in a medical spa.

What Ownership Mistakes Can Shut Down Your Med Spa?

The Texas Medical Board and other regulators actively investigate med spas. The most common enforcement triggers come from structural and compliance failures that were entirely preventable.

Mistake 1: Forming Only One LLC Without a Medical Entity

Many first-time med spa owners form a single LLC and hire a Medical Director, assuming that is enough. It is not. Without a separate physician-owned professional entity that holds clinical authority, you are likely operating in violation of the CPOM doctrine. This structure exposes the physician to TMB sanctions and the business to forced closure.

Mistake 2: Using a Boilerplate Management Services Agreement

A generic MSA template found online will not hold up to regulatory scrutiny. Texas regulators look at whether the MSA genuinely preserves physician control or whether it is a disguised employment arrangement. A poorly drafted MSA can cause your entire structure to be viewed as non-compliant.

Mistake 3: Treating the Medical Director as a Passive License Holder

The “ghost” Medical Director scenario is one of the most common TMB violations in the med spa industry. If your physician is not genuinely involved in clinical oversight, both the physician and the business owner face serious legal exposure.

Mistake 4: Allowing Non-Licensed Staff to Perform Medical Procedures

Regardless of how much training a staff member has received, allowing unlicensed individuals to administer injectables, operate certain laser devices, or perform other regulated procedures is a direct regulatory violation. This can result in immediate suspension of operations and TMB investigation.

Mistake 5: Skipping Legal Review Before Signing Contracts

Medical Director Agreements, MSAs, real estate leases, and vendor contracts all carry legal risk. Signing without proper review is one of the most expensive mistakes a med spa owner can make. Our healthcare contracts practice area covers these issues comprehensively.

See also our breakdown of the importance of compliance in a medical spa and our guide on ethical considerations in a medical spa.

For a step-by-step guide to opening a med spa the right way, see our comprehensive resource on how to open a med spa in Texas.

How Does Texas Compare to Other States on Med Spa Ownership?

Not all states have the same CPOM restrictions as Texas. Understanding the national landscape helps you appreciate why getting Texas right requires specific expertise.

**Med Spa Ownership Rules: Texas vs. Other Key States**
State	CPOM Restrictions?	Non-Physician Ownership Allowed Directly?	MSO Required for Non-Physicians?
Texas	Yes, strict	No	Yes
California	Yes, strict	No	Yes
Indiana	Yes	No (for clinical entity)	Yes
Florida	Moderate	Limited	Recommended

If you are exploring California med spa ownership, our page on med spa ownership in California covers the specific rules there. For Indiana, see our Indiana healthcare lawyer resources.

Frequently Asked Questions About Med Spa Ownership in Texas

Can a non-physician own 100% of a med spa in Texas?

A non-physician cannot own 100% of the medical practice entity in Texas. However, a non-physician can own 100% of a Management Services Organization (MSO) that manages the business operations of the med spa, provided the medical practice entity is owned by a licensed physician. When structured correctly, this gives the non-physician owner meaningful control over the business without violating the Corporate Practice of Medicine doctrine.

Can a physician assistant own a med spa in Texas?

A physician assistant (PA) cannot directly own the professional medical entity of a med spa in Texas because PAs are not licensed physicians. However, a PA can own the MSO side of the business and can work clinically within the med spa under physician delegation. The medical practice entity must still be owned and controlled by a licensed MD or DO. See our guidance on whether a physician assistant can own a med spa in Texas for more detail.

Do I need a Medical Director if I am a physician owner?

If you are a licensed physician and the owner of the medical entity, you can serve as your own Medical Director. You do not need to hire a separate physician for that role. However, if you plan to open multiple locations or expand your service offerings significantly, you may eventually need to bring in additional physician oversight to ensure compliance with Texas Medical Board supervision requirements across all locations.

What happens if a med spa in Texas is found to be illegally structured?

An illegally structured med spa in Texas can face multiple serious consequences. The Texas Medical Board may investigate and discipline the physician involved, potentially leading to license suspension or revocation. The business may be ordered to cease offering medical services. Civil penalties may be imposed. In extreme cases involving fraud or billing irregularities, criminal charges are possible. Restructuring after a regulatory finding is far more costly and disruptive than building the structure correctly from the start. If you are concerned about your current structure, contact our team at Dike Law Group for a compliance review.

How much does it cost to set up a legally compliant med spa structure in Texas?

The cost of setting up a legally compliant MSO and professional entity structure for a Texas med spa varies depending on the complexity of your business model, the number of entities involved, and the scope of agreements needed. Legal fees for structuring typically cover entity formation, the Management Services Agreement, the Medical Director Agreement, and initial compliance policies. Investing in proper legal setup at the beginning is significantly less expensive than defending a TMB investigation or rebuilding a non-compliant structure later.

Can a med spa in Texas offer both medical and esthetic services under one entity?

Practically speaking, most Texas med spas offer both. Purely esthetic services like facials, waxing, and non-medical skin treatments can be offered by licensed estheticians without physician oversight. Medical services like injectables, laser treatments, and prescription-based treatments require clinical oversight under the professional entity. The key is that both service lines must be clearly delineated in your compliance and operational structure, and the clinical services must be delivered through a properly structured medical entity.

Is there a Texas state license specifically for med spas?

Texas does not have a single “med spa license.” However, depending on the services offered, a med spa may need a facility license from the Texas Health and Human Services Commission, a surgical suite certification if certain procedures are performed, and individual provider licenses for all clinical staff. The licensing landscape depends heavily on the specific services you plan to offer. Our guide on what license you need to open a medical spa in Texas covers this in depth.

Can a spouse own the MSO while their physician spouse owns the medical practice?

Yes, this is a common and legally permissible arrangement in Texas. A physician spouse can own the professional entity while their non-physician spouse owns the MSO. However, this structure still requires all the same legal safeguards as any other MSO arrangement. The MSA must be properly drafted, the management fees must reflect fair market value, and the physician must retain genuine control over all clinical decisions. Community property laws in Texas may also affect how this structure is treated in other legal contexts, which is worth addressing with your attorney.

Ready to Build Your Med Spa on Solid Legal Ground?

Understanding who can own a med spa in Texas is only the beginning. The real work is building a structure that protects your investment, satisfies regulators, and positions your business for long-term growth.

At Dike Law Group, healthcare law is not a side practice. It is all we do. Our team works exclusively with physicians, healthcare entrepreneurs, and med spa owners across Texas, helping them get their structures right from day one and defend them when challenges arise.

Whether you are starting from scratch, restructuring an existing arrangement, or navigating a Texas Medical Board inquiry, our attorneys provide direct, strategic guidance tailored to your specific situation.

Many clients come to us after receiving generic advice that did not account for Texas-specific CPOM rules. Others come after a compliance issue has already surfaced. In either case, we help you move forward with clarity and confidence.

Schedule a consultation with Dike Law Group today. Call us at (972) 290-1031 or visit our Texas medical spa lawyer page to get started. You can also find us at our Frisco office, conveniently located to serve clients across the Dallas area and the entire state of Texas.

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The post Who Can Own a Med Spa in Texas? Ownership Rules Explained first appeared on Dike Law Group.

How Non-Physicians Can Own and Operate a Med Spa in Texas

Doris Dike — Wed, 18 Mar 2026 20:25:59 +0000

Is it possible for someone who is not a doctor to own a medical spa in Texas? The simple answer is no. Texas law does not allow people without a medical license to own these businesses directly. However, you should not give up on your dream. By setting up a Management Services Organization, also known as an MSO, people like nurse practitioners, estheticians, and entrepreneurs can legally take part in owning, running, and earning money from a medical spa.

Learning how these organizations function is a big deal if you want to enter the growing Texas beauty and wellness market. You must set them up the right way to follow the law. Doris Dike at Dike Law Group helps clients in Dallas handle these complex rules so their businesses stay safe.

Defining a Medical Spa

A medical spa is a mix of a standard day spa and a medical clinic. In these shops, licensed medical experts provide treatments like injections for wrinkles. At the same time, the spa might offer regular relaxation services like skin care, rubs, and body washes.

Reasons Why Non-Doctors Cannot Own Medical Spas

Texas has a rule called the corporate practice of medicine. This doctrine stops people without a medical license from owning a medical business. It also stops regular companies from hiring doctors just to make a profit or telling doctors how to treat patients. The goal is to make sure patients get care based on health needs rather than how much money a business owner wants to make.

Which Spa Services Fall Under Medical Rules?

Many popular treatments are legally considered the practice of medicine. Because of this, a doctor must own the part of the business providing them. These services include:

Botox and fillers
Laser skin treatments
Strong chemical peels
Microneedling with special medicine
IV therapy for wellness
Medical weight loss plans

Legal Owners of Texas Medical Spas

Only certain people can hold a deed to a medical practice in Texas:

Doctors (MDs and DOs): They can own 100 percent of the business.
Physician Assistants: They can own a small part, but a doctor must own the majority.

The following people are not allowed to own the medical side of the spa:

Nurse practitioners or nurses
Estheticians
Business investors
Doctors from other states without a Texas license

While these people cannot own the medical practice, they can own an MSO. This company partners with the doctor’s office to help it run.

Understanding the MSO Model

A Management Services Organization is a separate company. It provides the help a doctor needs to run the daily tasks of a business. The MSO does almost everything except the actual medical work.

What an MSO Can Handle

MSOs take care of many jobs, such as:

Finding office space and buying medical tools
Setting up computers and record systems
Handling bills and getting paid by customers
Managing the bank accounts and taxes
Finding and hiring office staff and paying them
Teaching employees and managing human resources
Creating a brand and running social media pages
Watching over legal rules and privacy laws
Checking over business contracts

Limits on MSO Power

There are things an MSO is never allowed to do:

Give medical advice
Decide how to treat a patient
Hire or fire the doctors
Tell the doctor which medical steps to follow

The doctor must always be the one in charge of the health of the patients.

How the Two-Company System Functions

To follow Texas law, a medical spa usually uses two different legal groups that work together.

The First Group: The Doctor’s Company This is a professional limited liability company owned by a doctor. This group owns the medical part of the spa. It hires the medical staff and makes all the health choices. It is the entity that bills patients for medical work.

The Second Group: The Business Company (MSO) This is an LLC owned by the person who is not a doctor. It handles the business side. It might own the building or the chairs. It hires the front desk staff and does the marketing. This company gets paid a fee by the doctor’s company for its hard work.

The Contract: Management Services Agreement A contract called an MSA connects these two groups. It explains what the business company will do and how much it will be paid. It also sets clear lines so the business owner does not interfere with the doctor’s medical choices.

Who Watches Over Texas Medical Spas?

Different government groups watch these businesses to make sure they follow the law.

The Texas Medical Board This is the main group in charge. They make sure doctors are following the rules and that non-doctors are not trying to practice medicine.

Texas Department of Licensing and Regulation This group watches over estheticians and laser hair removal. If a spa offers regular skin care, it needs a license from this group too.

Texas Department of State Health Services They look at things like tanning beds or permanent makeup.

Federal Agencies The FDA watches the tools and drugs used, like Botox or weight loss shots. The DEA watches over any strong medicines kept on site.

Keeping Your Business Legal

Paying Fair Prices The money the doctor’s office pays the business company must be a fair price for the work done. You cannot just pick a random high number to move profits. If the pay is too high, the state might think the business owner is actually controlling the doctor. Dike Law Group can help you figure out a fair price that stays within the law.

Following National Health Laws You must be careful about laws regarding kickbacks. You cannot pay someone just for sending a patient to the spa. Fees should not be based on how many patients show up or how many referrals are made.

Having Everything in Writing You need signed papers for every part of the business. This includes the management deal, the lease for the office, and the employment papers. These documents must be written clearly to show who is in charge of what.

Letting the Doctor Lead The most important rule is that the doctor must have total control over patient care. Business owners should not pressure doctors to sell more services or see more people. If a business owner starts making medical choices, the whole company could get in legal trouble.

Common Questions About Med Spa Ownership

Can a nurse practitioner own a spa? In Texas, a nurse practitioner can own a business, but they still need a doctor to oversee the medical side. This can sometimes cause stress between the nurse who owns the business and the doctor who is legally responsible for the patients. It is vital to have a lawyer help set this up so nobody breaks the law.

Can an investment firm own a spa? A firm cannot own the medical practice, but they can own the MSO that manages it.

What if the doctor wants to quit? A good contract will explain exactly how a doctor can leave and how much notice they must give. This prevents the business from closing down suddenly.

Using an MSO is a great way for people in Dallas and throughout Texas to enter the medical spa world. If you follow the rules and keep medical choices in the hands of doctors, you can build a very successful business.

The post How Non-Physicians Can Own and Operate a Med Spa in Texas first appeared on Dike Law Group.

How to Start a Med Spa in Indiana: Legal and Compliance Guide

Doris Dike — Tue, 10 Mar 2026 20:35:40 +0000

If you are researching how to start a med spa in Indiana, you need to understand one critical truth: a med spa is not just a beauty business. It is a regulated healthcare operation.

Injectables, laser treatments, and other aesthetic procedures often qualify as the practice of medicine under Indiana law. That means ownership structure, supervision, and licensing matter.

Failing to structure your med spa correctly can expose you to licensing violations, refund demands, and regulatory scrutiny.

Who Can Own a Med Spa in Indiana?

One of the most common questions is whether a non-physician can own a med spa in Indiana.

Because many med spa services involve medical procedures, ownership may be subject to professional entity rules and corporate practice of medicine principles.

Non-physicians generally cannot directly own a medical practice that provides clinical services. However, compliant structures such as Management Services Organization (MSO) models may allow business participation if structured correctly.

Do You Need a Medical Director?

Most Indiana med spas offering injectables or laser services require physician involvement.

A medical director is typically responsible for:

Clinical oversight
Establishing treatment protocols
Supervising delegated procedures
Ensuring compliance with scope-of-practice laws

However, simply “renting” a medical director’s license without meaningful oversight can create regulatory risk.

Compensation arrangements must also be structured carefully to avoid fraud and abuse exposure.

Licensing Requirements for Med Spa Services

Healthcare professionals performing medical aesthetic services must hold appropriate Indiana licenses.

Physicians, nurse practitioners, physician assistants, and registered nurses are regulated by the Indiana Professional Licensing Agency.

Operating without properly licensed personnel can lead to enforcement action and forced closure.

Supervision and Scope of Practice Rules

Indiana scope-of-practice rules determine which providers may perform specific procedures and under what supervision.

For example:

Physicians may delegate certain tasks
Nurse practitioners may have independent authority depending on collaboration status
RNs may perform services only under appropriate supervision

Improper delegation is one of the most common compliance failures in med spa operations.

Corporate Structure and MSO Considerations

Because med spas often combine medical and cosmetic services, structuring the business properly is critical.

Common compliant structures include:

Physician-owned professional entities for clinical services
Separate management entities for administrative functions
Clearly drafted management agreements
Fair market value compensation arrangements

Blurring the lines between clinical control and business control can create regulatory exposure.

Common Compliance Mistakes Med Spa Owners Make

Med spa founders frequently underestimate regulatory risk. Common mistakes include:

Allowing non-physicians to control medical decisions
Using improperly supervised injectors
Failing to document patient assessments
Paying percentage-based compensation tied directly to referrals
Ignoring written compliance policies

Growth-focused med spas often move faster than their legal structure allows.

How to Structure a Compliant Med Spa in Indiana

To start a med spa in Indiana the right way, founders should:

Confirm proper licensing of all providers
Establish clear supervision protocols
Use compliant ownership and MSO structures
Implement written policies and documentation systems
Periodically review regulatory exposure

A compliant structure protects both revenue and long-term viability.

Why Legal Planning Matters

Med spas operate at the intersection of healthcare regulation and consumer services. That makes them high-risk if structured improperly.

Dike Law Group advises physicians, entrepreneurs, and healthcare founders on compliant med spa formation, ownership structuring, and regulatory risk mitigation in Indiana.

Proper planning allows growth without unnecessary enforcement exposure.

The post How to Start a Med Spa in Indiana: Legal and Compliance Guide first appeared on Dike Law Group.

California NP Med Spa Rules: 10 Critical Compliance Limits

Doris Dike — Fri, 13 Jun 2025 20:51:08 +0000

Why Understanding California NP Med Spa Rules Is Essential

The California aesthetic market is booming, attracting many nurse practitioners eager to offer advanced cosmetic services and capitalize on this growing industry. However, nurse practitioners must navigate complex California NP med spa rules that govern ownership, clinical supervision, and operational structure. Understanding these rules is essential for NPs to establish compliant med spas, avoid legal pitfalls, and protect their licenses. Without proper knowledge and adherence to these regulations, nurse practitioners risk costly penalties, legal actions, and jeopardizing their professional reputations.

California has become one of the largest markets for medical aesthetic services in the United States. From Botox and dermal fillers to laser skin treatments and body contouring, demand is soaring. Nurse practitioners, with their medical training and increasing presence in primary and specialty care, are ideally positioned to offer these services. Yet, the unique regulatory environment in California demands a deep understanding of how California NP med spa rules limit NP ownership, control, and operational participation in med spas. These rules have evolved in response to concerns about patient safety, quality of care, and professional boundaries.

Whether you are a nurse practitioner considering entering the med spa market or an existing NP-led business aiming to expand services, knowledge of these rules is your first line of defense against costly compliance failures. This article will provide a comprehensive overview of the legal landscape, ownership structures, supervision requirements, marketing limitations, common pitfalls, and best practices to succeed in California’s med spa industry while fully respecting California NP med spa rules.

California’s Regulatory Landscape for Nurse Practitioners in Med Spas

Corporate Practice of Medicine: A Foundational Principle

The backbone of California NP med spa rules is the Corporate Practice of Medicine (CPOM) doctrine. CPOM prohibits non-physicians from owning medical practices or exerting control over clinical care decisions. This doctrine stems from longstanding concerns that clinical decision-making must be preserved as a strictly professional domain, free from purely commercial interests.

Med spas offering injectable treatments such as neurotoxins and dermal fillers, laser therapies for skin rejuvenation, or advanced body sculpting technologies are legally considered medical practices rather than beauty salons. This classification triggers the application of CPOM and other healthcare regulations. Consequently, nurse practitioners cannot independently own or control the clinical aspects of a med spa in California. Ownership and clinical authority must remain with licensed physicians.

For nurse practitioners, this means that although they can perform medical aesthetic treatments within their scope of practice, they cannot independently own the medical entity providing these services. The law requires that the medical practice, including the med spa’s clinical side, be majority-owned and controlled by a licensed physician. This ownership ensures physicians maintain ultimate responsibility for patient care, clinical standards, and legal compliance.

Understanding CPOM is critical because violations can lead to business invalidation, fines, loss of licensure, or civil penalties. The state aggressively enforces these principles to protect public safety. For NPs eager to maximize their role, compliance with CPOM under California NP med spa rules means adopting legal structures that clearly separate clinical authority and ownership.

Oversight by the Medical Board and Board of Nursing

Enforcement of California NP med spa rules falls primarily to two regulatory bodies: the Medical Board of California and the Board of Registered Nursing (BRN). Both agencies oversee nurse practitioners’ scope of practice, clinical delegation, advertising, and ownership structures.

The Medical Board focuses on physician practice and the integrity of medical entities, while the BRN regulates nurse practitioner licensing and practice standards. These boards regularly issue guidance documents, conduct inspections, and review complaints related to med spa operations. They scrutinize claims about ownership, physician supervision, and compliance with delegation protocols.

Violations of California NP med spa rules can trigger disciplinary actions ranging from warnings to license suspension or revocation. Advertising a med spa as “NP-owned” without proper physician ownership or failing to maintain required supervision agreements may result in penalties.

It is essential for nurse practitioners and their med spa teams to stay informed about regulatory updates and interpretative guidelines issued by these boards. Regulatory policies can evolve quickly in response to industry changes, so ongoing monitoring is a must to ensure continuous compliance.

Ownership and Operational Models Permitted Under California NP Med Spa Rules

Physician-Owned Medical Corporations

The gold standard for med spa compliance under California NP med spa rules is ownership through a physician-owned professional medical corporation (PMC). The PMC owns the medical assets, employs or contracts clinical staff, and controls all medical decision-making.

This structure preserves physician control over clinical protocols, quality assurance, and compliance with state medical laws. The physician-owned PMC bears full responsibility for patient care and regulatory adherence. It also safeguards the business by ensuring that CPOM requirements are met.

Establishing a PMC involves legal steps including incorporation, physician ownership documentation, and obtaining appropriate licenses. This process may seem complex, but it is foundational for lawful med spa operations in California.

Nurse Practitioners’ Role Through Management Services Organizations (MSOs)

While nurse practitioners cannot own the clinical entity, they may participate by owning or managing a separate Management Services Organization (MSO). The MSO handles non-clinical business functions such as marketing, administration, facility management, human resources, and billing.

The MSO contracts with the physician-owned PMC to provide management services. This contractual relationship must clearly separate clinical decision-making (held by the physician) from business operations. Such a structure complies with California NP med spa rules by maintaining CPOM boundaries.

NPs can thus benefit financially and operationally by running or owning the MSO, as long as the clinical side remains under physician control. Many successful med spas in California use this MSO-PMC model to balance regulatory compliance with business growth.

Joint Ventures and Revenue Sharing Arrangements

Another permissible arrangement under California NP med spa rules involves joint ventures between NPs and physicians. In these setups, the physician owns the clinical entity, but the NP plays a clearly defined role in business operations or clinical care within their scope of practice.

Revenue-sharing agreements must be carefully structured to reflect actual services provided, not patient referrals or clinical outcomes, to avoid violating anti-kickback statutes or CPOM provisions. Clear, legally vetted contracts are necessary to ensure compliance.

NPs considering joint ventures should work with healthcare attorneys to draft arrangements that respect regulatory boundaries while providing fair economic participation.

Supervision and Delegation Under California NP Med Spa Rules

Written Delegation Protocols and Agreements

California requires nurse practitioners performing medical aesthetic procedures to work under formal written delegation protocols with supervising physicians. These documents specify which procedures the NP may perform and outline the supervision level and oversight mechanisms.

California NP med spa rules mandate that these protocols be detailed, up to date, and regularly reviewed. Changes in clinical offerings or technology require protocol updates. Physicians must actively monitor NP practice through regular case reviews and quality assessments.

Failure to maintain proper delegation agreements is a frequent cause of board investigations. Proactively managing these documents reduces legal risk and improves patient safety.

Prescriptive Authority and Scope of Practice

Prescribing medications in med spas, such as local anesthetics or cosmetic injectables, requires NPs to have furnishing numbers and comply with standardized procedures developed with their supervising physicians. This is a vital component of California NP med spa rules.

NPs must ensure their prescribing practices strictly adhere to the scope defined in these procedures. Regular audits and continuing education support ongoing compliance and high-quality patient care.

Marketing and Representation: Staying Transparent and Compliant

Avoiding Misleading Ownership Claims

Advertising and public representation of med spas must accurately describe ownership and supervision. NPs cannot claim independent ownership of medical services or imply unsupervised clinical authority.

If an NP owns an MSO or holds a management role, marketing should clearly distinguish this from clinical ownership and physician supervision. Transparency helps avoid regulatory scrutiny and builds consumer trust.

Disclosure Requirements to Patients

Patients have a right to know who provides their care and the extent of physician supervision. Med spas must disclose the identity and roles of the healthcare providers involved, including nurse practitioners and supervising physicians.

These disclosures foster informed consent and legal compliance, enhancing the practice’s reputation and patient satisfaction.

Common Compliance Pitfalls and How to Avoid Them

Blurring the Lines Between Business and Clinical Authority

A major compliance risk arises when nurse practitioners or MSOs take on clinical decision-making or medical staff hiring responsibilities, actions reserved for physicians under CPOM.

Examples include setting treatment prices, determining clinical protocols, or supervising medical personnel. Such blurring of roles violates California NP med spa rules and can lead to sanctions.

Maintaining strict boundaries between business management and clinical authority is paramount.

Inadequate or Symbolic Supervision

Supervising physicians must provide genuine, documented oversight. Occasional check-ins or “rubber-stamping” protocols do not satisfy regulatory requirements.

Active supervision includes reviewing medical records, participating in clinical meetings, and ensuring adherence to standards. Robust supervision protects patient safety and compliance.

Business Challenges NPs Face Under California NP Med Spa Rules

Securing Physician Partners for Oversight

Liability concerns and time demands can make physicians reluctant to serve as medical directors. NPs must negotiate clear, fair agreements that outline duties, compensation, and liability coverage.

Legal counsel can assist in structuring these agreements to protect all parties and ensure regulatory compliance.

High Costs of Compliance

Building a compliant med spa involves substantial investment in legal services, insurance, staff training, and documentation systems. These expenses can be barriers but are essential to avoid costly violations and build a reputable practice.

Planning for these costs early is critical to long-term success.

Strategic Benefits of Collaboration Between NPs and Physicians

Expanded Service Offerings and Risk Mitigation

Collaborations enable nurse practitioners to legally offer a wider range of aesthetic procedures while benefiting from physician oversight that mitigates liability.

Structured properly, these partnerships foster growth and compliance with California NP med spa rules.

Enhanced Market Credibility

A physician-led clinical model builds patient confidence and distinguishes a med spa in a competitive market. Clear compliance signals professionalism and care quality.

Best Practices for NPs Entering the California Med Spa Industry

Consult Specialized Healthcare Attorneys

Expert legal guidance ensures your business model, contracts, and protocols comply with California NP med spa rules. Attorneys help mitigate risks and streamline operations.

Maintain Comprehensive Documentation

Detailed, current documentation of all agreements, protocols, and marketing helps during audits and investigations.

Uphold Clear Role Definitions

Avoid independent clinical decisions and clearly communicate roles to staff and patients. Training reinforces compliance culture.

Additional Strategies for Compliance and Growth

Participate in Ongoing Education and Training

Continuing education keeps providers informed of regulatory changes and advances in aesthetic medicine.

Develop Internal Compliance Checklists and Audits

Checklists help staff consistently follow procedures and marketing guidelines.

Schedule Periodic Legal Reviews

Regular consultations with healthcare attorneys ensure adaptation to evolving laws.

Build Strategic Partnerships

Collaborate with compliant physicians and stakeholders for sustainable growth.

Conclusion: Navigating California NP Med Spa Rules for Success

California’s med spa market offers exciting opportunities for nurse practitioners but requires strict adherence to California NP med spa rules. These regulations protect patients, providers, and businesses by maintaining clear boundaries in ownership, supervision, and clinical practice.

Careful navigation of these rules enables NPs to thrive in the aesthetic industry while safeguarding their licenses and reputations. Whether starting a new venture or expanding services, compliance is fundamental.

At Dike Law Group, we guide med spa owners through California’s complex healthcare regulations. Our legal experts help establish compliant structures, draft enforceable agreements, and develop customized strategies for growth.

If you are ready to align your med spa operations with California’s regulatory standards, schedule a consultation with our team. Connect with us on Instagram, LinkedIn, YouTube, TikTok, and Facebook for ongoing insights.

The post California NP Med Spa Rules: 10 Critical Compliance Limits first appeared on Dike Law Group.

Essential Telehealth Compliance Guide: How California Med Spas Can Legally Offer Virtual Care

Doris Dike — Fri, 13 Jun 2025 16:36:35 +0000

Introduction: Why Telehealth Compliance Is Essential for California Med Spas

Telehealth compliance is now a core requirement—not a luxury—for California medical spas offering virtual consultations, follow-ups, and remote skincare assessments. As consumers increasingly expect convenience from aesthetic services, digital platforms are reshaping how med spas operate. However, while virtual care offers flexibility, it also creates risk.

Aesthetic practices must recognize that telehealth compliance is not just about adopting video calls—it’s about aligning your operations with a detailed and evolving legal framework. In this guide, we explain what California med spas need to know to stay legally protected while embracing telemedicine.

Understanding Telehealth Compliance in the Med Spa Setting

Telehealth compliance in a med spa context refers to meeting all state and federal legal obligations when using virtual platforms to deliver or support medical aesthetic care. That includes consultations for Botox, fillers, acne treatment, laser procedures, and more.

California categorizes such virtual services as “telehealth” and subjects them to detailed regulations that med spas must follow to avoid fines, licensing issues, and patient claims.

Telehealth Compliance and California Licensing Rules

The most foundational element of telehealth compliance is proper licensure. Under California law:

The provider conducting the virtual session must hold an active California license;
Non-licensed or out-of-state providers cannot legally treat California patients via telehealth;
Delegation of virtual services must follow specific supervision guidelines for nurses, PAs, or medical assistants.

Failure to comply with licensing rules can result in cease-and-desist orders, fines, or board sanctions.

How Telehealth Compliance Shapes Provider-Patient Relationships

Before any treatment begins, telehealth compliance requires that a valid provider-patient relationship be formed through a legally acceptable virtual method.

This means:

The consultation must include a two-way real-time video interaction;
A comprehensive health history and symptom review must be conducted;
You must document the interaction as you would during an in-person visit.

Without this relationship, prescribing medications or recommending treatment is unlawful—even for cosmetic services.

Standard of Care and Telehealth Compliance in Aesthetic Medicine

Under telehealth compliance standards, the same clinical care expectations apply as if the consultation were happening in person.

You must ensure that:

Evaluations are individualized and not scripted or automated;
Any remote diagnosis is supported by the clinical data gathered;
Procedures are not recommended unless appropriate based on assessment.

Regulators do not relax standards simply because the visit is online. In fact, virtual care may come under higher scrutiny if outcomes are poor or documentation is lacking.

Supervision and Collaboration: Critical to Telehealth Compliance

In California, telehealth compliance also means adhering to scope-of-practice rules for nurse practitioners (NPs), physician assistants (PAs), and supervising physicians.

For example:

NPs may independently provide telehealth if qualified under AB 890, but they must meet strict documentation and training standards;
PAs must work under formal Delegation of Services Agreements that include provisions for telehealth;
Physicians who supervise remotely must still review charts, provide oversight, and remain reachable during patient sessions.

Skipping supervision protocols, even for “routine” telehealth, is a violation of California healthcare law.

Telehealth Compliance and Technology Requirements

Not all virtual tools meet the standards of telehealth compliance. California expects med spas to use platforms that are:

HIPAA-compliant with encryption and secure data handling;
Capable of maintaining detailed access logs and system monitoring;
Not used casually on personal devices or unsecured networks.

Using popular platforms like Zoom, Google Meet, or Doxy.me may be permissible—but only if they’re configured correctly and your team is trained in their use.

Privacy Laws and Telehealth Compliance Under HIPAA and CMIA

Telehealth compliance also means safeguarding patient privacy at all stages of care. California’s Confidentiality of Medical Information Act (CMIA) and federal HIPAA rules both apply.

Best practices include:

Conducting virtual sessions in private, soundproof locations;
Avoiding casual platforms like texting or unsecured emails;
Not storing photos, forms, or messages on personal devices;
Providing patients with updated privacy notices that explain telehealth risks.

Any breach, even accidental, may result in disciplinary action or patient lawsuits.

Informed Consent and Telehealth Compliance in Cosmetic Services

California requires informed consent for both the treatment and the telehealth format itself. To comply with telehealth compliance mandates, med spas must:

Explain to the patient how telehealth works and its limitations;
Provide disclosure about privacy risks and how their information will be used;
Ensure the patient consents to treatment despite the virtual setting;
Collect and retain signed or logged documentation of consent.

These disclosures are just as critical for a virtual acne consultation as they are for a pre-Botox evaluation.

Marketing and Telehealth Compliance: Stay Clear of Misleading Claims

Advertising your telehealth services also falls under California’s Business and Professions Code, which prohibits misleading claims. To stay within telehealth compliance:

Avoid saying virtual visits are “equal” to in-person ones unless clinically validated;
Be clear when certain procedures still require physical exams;
Do not offer treatment packages or discounts that imply automatic treatment approval from telehealth sessions.

Marketing language should always be legally reviewed—especially when promoting virtual services online.

Telehealth Compliance and Billing Practices

Billing for telehealth services in California requires careful attention to both state parity laws and insurance policies.

Key considerations for med spas:

Medi-Cal and some private insurers reimburse telehealth at the same rate as in-person visits—but not always for aesthetic care;
Incorrect codes, modifiers (e.g., 95 or GT), or lack of documentation can lead to denied claims;
For cash-pay clients, cost transparency is essential—especially when bundling virtual consults with future services.

Improper billing can lead to fraud allegations, especially when treatments appear pre-approved through telehealth.

Prescription Rules and Telehealth Compliance for Med Spas

California law allows prescribing medications via telehealth—but only under strict compliance standards.

To comply with telehealth regulations:

Providers must establish a valid relationship and perform a clinical evaluation first;
No prescription may be issued based solely on an online intake form;
E-prescribing systems must comply with California Board of Pharmacy regulations;
Controlled substances require extra documentation and security controls.

This applies even to seemingly routine prescriptions like post-treatment antibiotics or numbing creams.

Recordkeeping Obligations Under Telehealth Compliance Standards

California law mandates robust documentation and recordkeeping for all medical services—including those delivered remotely.

This includes:

Date, time, and platform used for each virtual session;
Full notes documenting the patient’s condition, recommendations, and consent;
Retention of records for at least seven years;
Immediate availability of records in the event of a board inquiry or lawsuit.

Thorough documentation is essential to demonstrate compliance and defend your practice.

Emergency Protocols: A Telehealth Compliance Requirement Often Overlooked

Telehealth compliance also means planning for the unexpected. California expects med spas to have clear protocols for:

Escalating to in-person care when remote consultation is insufficient;
Referring patients experiencing medical complications;
Handling tech failures or emergency disruptions;
Informing patients how to reach emergency services from remote locations.

These protocols should be written down, staff-trained, and reviewed regularly.

Limitations of Telehealth: What Can’t Be Done Virtually

Telehealth compliance includes knowing the boundaries of what’s legally and ethically appropriate to do virtually. Some services require an in-person evaluation before proceeding.

These include:

Injectable neurotoxins (Botox, Dysport);
Dermal fillers;
Laser-based treatments or RF energy devices;
Physical examinations necessary to determine skin thickness, elasticity, or lesion characteristics.

Use telehealth for eligibility and education, not substitution where it matters most.

Internal SOPs for Telehealth Compliance

Your med spa should develop internal SOPs (Standard Operating Procedures) that outline your telehealth compliance policies.

These documents should include:

Which staff can participate in virtual care;
What platforms are permitted;
Consent and documentation templates;
Emergency workflows;
Quality assurance and escalation procedures.

Formalizing your process shows regulators and patients that you’re committed to compliant care.

Top Legal Pitfalls in Telehealth Compliance—and How to Avoid Them

Some of the most common compliance mistakes med spas make include:

Delivering services to out-of-state patients without a California license;
Conducting consultations over non-secure platforms like WhatsApp;
Skipping informed consent or failing to document it;
Letting non-licensed staff perform clinical tasks virtually;
Misleading patients in advertising about the scope of telehealth offerings.

The best way to avoid these issues is by building your telehealth program alongside a healthcare law firm.

When You Need Legal Help for Telehealth Compliance

Contact a California healthcare attorney if you’re:

Launching or modifying your telehealth services;
Switching platforms or vendors;
Hiring new providers or restructuring supervision;
Planning to advertise virtual offerings online;
Audited by Medi-Cal or a private insurer;
Responding to a patient complaint involving virtual care.

Legal review is an essential part of launching a safe and sustainable telehealth program.

Conclusion

The potential of California’s med spa market is enormous—but so is the scrutiny. Whether you’re launching your first aesthetic venture or expanding a multi-location brand, compliance isn’t optional—it’s foundational.

At Dike Law Group, we help med spa owners across California establish legally compliant structures, draft enforceable agreements, and navigate complex healthcare regulations with confidence. Our team understands the unique challenges that come with blending wellness and medical care—and we’re here to guide you through them.

If you’re ready to align your operations with California’s regulatory standards, you can schedule an in-person meeting with our legal team to discuss your business goals and compliance needs.

For ongoing insights and updates, you can also find us on Instagram, LinkedIn, YouTube, TikTok, and Facebook, where we share practical information for healthcare business owners and operators.

The post Essential Telehealth Compliance Guide: How California Med Spas Can Legally Offer Virtual Care first appeared on Dike Law Group.

California Med Spa Expansion: A Legal Readiness Playbook for Growth

Doris Dike — Tue, 10 Jun 2025 22:27:44 +0000

Expanding your med spa offerings in California can be a lucrative growth strategy—but it must be grounded in legal compliance from day one. With increasing services come higher risks, tighter regulations, and a sharper focus from state oversight agencies. From physician supervision to corporate structure, every phase of a California med spa expansion must align with strict state healthcare laws to avoid liability and maintain operational integrity.

This guide outlines the key legal considerations med spa operators in California must address before launching new services, platforms, or partnerships.

1. Define the Legal Status of New Treatments in California

Not all aesthetic procedures are created equal in the eyes of California law. Many services—including microneedling, neurotoxins (like Botox), IV therapy, and energy-based devices—are considered medical in nature and require physician oversight.

To stay compliant during California med spa expansion:

Determine if the procedure is considered the “practice of medicine” under California’s Business and Professions Code;
Ensure only licensed medical professionals (e.g., RNs, NPs, PAs) perform medical treatments under proper supervision;
Draft protocols detailing who can perform what services, under whose authority, and with what oversight.

Performing or delegating medical procedures without proper licensing or protocols can trigger Board of Nursing, Medical Board, or Department of Consumer Affairs investigations.

2. Establish a Legally Valid Supervision Framework

California law requires that any medical service in a med spa be performed or supervised by a physician or someone working under a legally appropriate delegation.

Med spa operators must:

Retain a California-licensed physician to oversee medical services;
Create written protocols for delegation to nurses, PAs, or NPs;
Maintain documentation of treatment authorizations, patient evaluations, and physician involvement.

The Medical Board of California has disciplined physicians for lax supervision or improper delegation—especially in fast-growing clinics.

3. Assess Facility and Practitioner Credentials

Before expanding your service menu, assess your facility’s current regulatory standing:

Is every provider appropriately licensed and authorized to perform specific procedures?
Will any new service require additional permits (e.g., laser certification, radiologic equipment registration)?
Have all required trainings—such as CPR, infection control, and OSHA compliance—been completed and documented?

A California med spa expansion without proper credentialing can lead to cease-and-desist orders or citations during inspection.

4. Review Legal Boundaries in Marketing and Outreach

Aggressive marketing is common in aesthetics, but California has some of the most consumer-protective advertising laws in the country.

To minimize legal risk:

Only use terms like “board-certified,” “doctor,” or “expert” when they are accurate and verifiable;
Avoid making claims of guaranteed outcomes or “miracle” results;
Ensure all testimonials, before-and-after photos, and promotional language comply with California’s False Advertising and Medical Practice Acts.

Violations can lead to fines, license suspension, and consumer lawsuits.

5. Fortify Data Privacy Protocols

As new treatments are introduced, more patient data is collected—including sensitive images and detailed intake records. California’s HIPAA equivalent, the California Confidentiality of Medical Information Act (CMIA), mandates strict privacy standards.

To ensure compliance:

Use encrypted electronic medical records systems;
Train staff in both HIPAA and CMIA privacy protocols;
Implement breach notification procedures and audit access logs.

Data violations—even unintentional—can trigger lawsuits and penalties exceeding $250,000 per breach.

6. Clarify Employment and Independent Roles

Growth often requires bringing on new injectors, aestheticians, or consultants. In California, it’s critical to distinguish between employees and independent contractors, especially with recent rulings on misclassification.

To avoid legal missteps:

Draft clear contracts outlining job duties, supervision requirements, payment, and liability responsibilities;
Ensure compensation structures comply with wage and hour laws and do not incentivize volume-based procedures (which may be considered unlawful fee-splitting);
Avoid verbal agreements—document everything.

Worker misclassification in a California med spa expansion could result in penalties from the Labor Commissioner or even civil lawsuits.

7. Recalibrate Insurance Coverage for Expanded Services

As your service menu grows, so does your liability exposure. You must ensure your insurance coverage evolves in step with your California med spa expansion.

Key steps include:

Confirm your malpractice policy covers all new procedures and providers;
Ensure your supervising physician and licensed staff have appropriate individual policies if needed;
Verify that your general liability insurance includes device-related injuries or patient complications.

Insurance gaps often only come to light when a lawsuit is filed—by then, it’s too late.

8. Prepare for Regulatory Site Visits and Inspections

Med spas in California are subject to visits from OSHA, the California Department of Public Health, the Medical Board, and other regulators.

Be inspection-ready:

Keep all licenses, permits, and certifications visibly posted and current;
Maintain written protocols for emergencies, treatment delegation, and infection control;
Track maintenance and calibration of all medical devices.

Unannounced inspections are common, especially following consumer complaints or negative publicity.

9. Comply With California Telehealth Guidelines (If Applicable)

If your California med spa expansion includes virtual consultations or follow-ups, you must follow state-specific telehealth laws.

Requirements include:

A valid physician-patient relationship established per California law before treatment is rendered;
Use of secure, HIPAA-compliant platforms for communication;
Documentation of informed consent, clinical judgment, and standard of care.

Telehealth is still considered the “practice of medicine”—violations are treated as seriously as in-person errors.

10. Address Structural and Tax Changes in Your Med Spa

Expanding locations, adding services, or onboarding partners often involves structural shifts that must be documented legally.

Before launching:

Update entity formation documents with the California Secretary of State if ownership or purpose changes;
Amend tax registrations to reflect new services or locations;
Review and revise agreements with MSOs (Management Services Organizations), physicians, or shareholders.

Make sure your growth is legally reflected—not just operationally implemented.

A Legally Sound Approach to California Med Spa Expansion

At Dike Law Group, we help med spa owners across California establish legally compliant structures, draft enforceable agreements, and navigate complex healthcare regulations with confidence. Our team understands the unique challenges that come with blending wellness and medical care—and we’re here to guide you through them.

If you’re ready to align your operations with California’s regulatory standards, you can schedule an in-person meeting with our legal team to discuss your business goals and compliance needs.

For ongoing insights and updates, you can also find us on Instagram, LinkedIn, YouTube, TikTok, and Facebook, where we share practical information for healthcare business owners and operators.

The post California Med Spa Expansion: A Legal Readiness Playbook for Growth first appeared on Dike Law Group.

Shatter Your Limits: Texas Med Spa Ownership Laws

Doris Dike — Mon, 09 Jun 2025 16:39:24 +0000

As the aesthetics market explodes with demand for non-invasive cosmetic procedures, many ambitious professionals are stepping into the world of medical spas. But for those in Texas, the journey from idea to execution isn’t just about choosing the right treatments or building a brand—it starts with understanding the legal limits of who can deliver healthcare, and who can’t.

Welcome to the world of Texas med spa ownership laws—a framework that determines how med spas must be structured and who can control them. Here’s what every aspiring med spa operator needs to know before launching.

What the Corporate Practice of Medicine (CPM) Actually Means

In Texas, delivering medical care isn’t just a matter of offering injections or wellness therapies. State law strictly limits the provision of medical services to licensed physicians or entities entirely controlled by them.

The corporate practice of medicine (CPM) doctrine is central to Texas med spa ownership laws, designed to keep medical decisions in the hands of licensed professionals. In short, business owners can’t interfere with diagnosis, treatment plans, or clinical supervision. Medical autonomy must stay intact, and commercial interests can’t override patient care.

Why Med Spas Are Uniquely Affected

Unlike standard spas, med spas offer treatments that cross into clinical territory—Botox, hormone therapies, prescription skincare, and more. These aren’t just wellness options; they fall squarely under the definition of medical services in Texas.

Because of this, Texas med spa ownership laws require careful structuring to protect physician control over anything clinical. That includes supervising staff, developing protocols, prescribing, and overseeing patient safety.

Structuring Your Business the Right Way

Here are three common models used in Texas to comply with Texas med spa ownership laws:

1. Physician-Led Entity
The most direct approach is to have the clinical operation owned and run by a licensed physician. The physician is responsible for medical decisions, employs the clinical team, and ensures legal compliance.

2. Entrepreneur + Contracted Medical Director
While non-physicians can’t own clinical practices, they can run a business that contracts with a licensed physician. In this setup, the physician independently manages patient care, while the business owner oversees administration and marketing—without crossing into clinical decisions.

3. MSO Model
The Management Services Organization (MSO) model is a popular structure under Texas med spa ownership laws. It separates business operations (run by the MSO) from clinical services (run by a physician-owned entity). The MSO handles things like payroll and branding, while the clinical side operates independently under physician control.

Oversight, Delegation, and Who Can Do What

Under Texas med spa ownership laws, only licensed physicians can supervise the delivery of medical care. However, clinical staff like nurses, physician assistants (PAs), and licensed vocational nurses (LVNs) can provide services under proper delegation.

Here’s the breakdown:

Injectables, IV therapy, and prescription treatments must be ordered and overseen by a physician or qualified mid-level provider.
Estheticians and laser technicians can perform regulated services only if they are properly trained and supervised.
Medical directors must be actively involved—not just lending their license for appearance.

Clear protocols and supervision are essential to staying within legal boundaries.

Don’t Forget About Advertising and Informed Consent

Two often overlooked areas within Texas med spa ownership laws are marketing and patient consent. Both are tightly regulated and must be taken seriously.

Marketing must be accurate, clearly identify which services are medical, and avoid exaggerated or misleading claims.
Patients must know who is treating them, the provider’s credentials, and any risks involved. Informed consent must be documented and securely stored.

Legal Exposure and the Cost of Getting It Wrong

Violating Texas med spa ownership laws can lead to serious legal and financial consequences:

Charges of unauthorized practice of medicine
Investigations by the Texas Medical Board
License suspension or revocation
Fines and forced business shutdowns

Non-physician partners can also be penalized if they interfere with medical decisions or structure their business in a way that violates the law.

The Smart Path Forward

Before investing in a med spa, take the following steps to stay aligned with Texas med spa ownership laws:

Consult healthcare attorneys experienced in Texas regulations
Clearly separate business and clinical operations
Use solid contracts that define responsibilities between partners
Stay updated on scope-of-practice and licensing requirements

Compliance isn’t just paperwork—it’s what protects your brand, your license, and your future.

Final Thought

The potential of Texas’s med spa market is enormous—but so is the regulatory complexity. Whether you’re launching your first aesthetic business or managing a growing multi-location practice, compliance with Texas med spa ownership laws isn’t optional—it’s foundational.

At Dike Law Group, we help med spa owners across Texas establish legally compliant structures, draft solid agreements, and navigate the unique challenges of blending medical care with business operations. Our experienced team understands the nuances of Texas regulations and is here to guide you every step of the way.

If you’re ready to align your med spa with Texas’s legal requirements and set your business up for long-term success, schedule a meeting with our legal experts to discuss your goals and compliance needs.

For ongoing insights and updates, follow Dike Law Group on Instagram, LinkedIn, YouTube, TikTok, and Facebook, where we share practical advice tailored for healthcare and med spa business owners.

Planning to open, buy, or run a med spa in Texas? Dike Law Group can help — see our Texas medical spa lawyer services.

The post Shatter Your Limits: Texas Med Spa Ownership Laws first appeared on Dike Law Group.

Primary Considerations for Operating a Med Spa in Texas

Doris Dike — Mon, 05 Aug 2024 20:06:02 +0000

Operating a med spa can be highly profitable, but it involves navigating a complex landscape of legal and regulatory requirements. Here are the key factors to consider when managing a med spa in Texas:

1. Ownership Rules

In Texas, med spa ownership can include physicians, nurse practitioners, physician assistants, or nurses. Even an unlicensed individual can own a med spa, but not in partnership with a physician. Regardless of ownership, all parties must adhere to laws and regulations related to nursing practices and medical task delegation.

2. Licensing and Regulations

3. Medical Oversight

Your med spa must have a qualified medical provider, such as a physician, nurse practitioner, or physician assistant, to oversee and supervise medical procedures. This provider must be licensed in Texas and ensure that all medical tasks comply with state and federal laws. Currently, the medical provider does not need to be on-site but must be available for supervision.

4. Advertising and Marketing

Complying with advertising regulations is crucial. Avoid false or misleading claims, clearly disclose the qualifications of your medical staff, and ensure that you obtain informed consent from patients before any procedures.

5. Delegation of Medical Tasks

Medical tasks at your med spa must be performed by licensed professionals or qualified unlicensed personnel, following state laws and regulations. Nurses can only perform tasks within their training and scope of practice and cannot make independent medical judgments.

6. Recordkeeping

Accurate and complete medical recordkeeping is essential. Maintain detailed records that include medical histories, treatment plans, and documentation of all procedures and treatments in compliance with state and federal regulations.

7. Compliance with Additional Regulations

Beyond the basics, your med spa must adhere to regulations concerning patient privacy (HIPAA), infection control, and medical waste disposal. Ensuring compliance with these additional requirements is vital for operational success.

Understanding and managing these considerations is crucial for running a successful med spa in Texas. With careful oversight and adherence to regulations, you can mitigate risks and safeguard your practice’s success.

If you’re in need of help, guidance or have questions concerning healthcare business legal matters or trademarks, we invite you to explore our website at Dike Law Group. To initiate a free intake discussion, please go to http://www.dorismeet.com/, where you can schedule a meeting with the attorney. Our services assist healthcare professionals in Texas and throughout the country.

The post Primary Considerations for Operating a Med Spa in Texas first appeared on Dike Law Group.

Five Essential Tips for Starting a Medical Spa in Texas: Part 2, Delegation and Supervision

Doris Dike — Fri, 02 Aug 2024 18:08:06 +0000

Starting a Texas medical spa involves understanding complex regulations, and compliance with delegation and supervision rules is crucial. The medical spa industry in the United States has seen rapid growth, with Texas leading the charge. Technological advancements have enhanced treatments, leading to increased patient satisfaction and a surge in demand for non-invasive procedures. This boom has prompted many entrepreneurs to explore the medical spa business.

Medical spas offer a variety of lucrative, cash-pay services, such as Botox® injections, IV hydration, and laser treatments. Both licensed providers and businesspeople recognize the value of offering these in-demand services without dealing with insurance reimbursements.

However, while technological innovation has been swift, Texas laws and regulations have not kept pace. Entrepreneurs may find the complexity of opening a compliant med spa and the severity of penalties for non-compliance daunting. This blog post is the second in a five-part series designed to help you understand the key legal issues when starting a medical spa in Texas. If you missed Part 1, you can read about Texas’s prohibition of the corporate practice of medicine by clicking here.

This series provides a primer on the major legal challenges facing medical aesthetics entrepreneurs. It is not a substitute for professional legal advice, but it will enhance your understanding of the legal pitfalls and complexities of opening a med spa anywhere between Galveston and El Paso.

Key Rules for Delegation and Supervision

Non-physicians can perform many popular medical spa treatments, but there are specific requirements to follow. As discussed in Part 1, the Texas Medical Board classifies many cosmetic treatments offered at medical spas as medical procedures. Therefore, if you want non-physicians to perform treatments (e.g., Botox® injections, dermal fillers, IV hydration) at your med spa, you must comply with the Texas Medical Board’s physician delegation and supervision rules.

Compliance with these rules is highly fact-specific and depends on various factors, including the physician’s location, the experience levels of both the physician and the non-physician, the type of license held by the non-physician, and the specific procedures performed. Here are the baseline requirements for a physician to delegate a nonsurgical cosmetic procedure to a non-physician:

Essential Delegation Requirements

Proper Training for Physicians: The physician acting as your medical director must be properly trained to perform all procedures they intend to delegate to others.
Adequate Training for Non-Physicians: The physician must ensure that the person performing the medical spa treatments has sufficient training in:
- Techniques for each treatment
- Indications and contraindications for each treatment
- Pre-procedural and post-procedural care
- Recognition and management of potential complications
- Infectious disease control involved with each treatment
Pre-Treatment Requirements: Before authorizing a treatment, the physician or another prescriber must:
- Take a patient history
- Perform a physical examination
- Make a diagnosis
- Recommend treatment
- Develop a detailed and written treatment plan
- Obtain the patient’s informed consent
- Provide instructions for emergency and follow-up care
- Prepare and maintain an appropriate medical record
- Have signed and dated written standing orders
- Sign off on the treatment-specific protocols the non-physician will follow when performing the procedure
Supervision Requirements: Currently, Texas requires that a physician or another prescriber be onsite during the procedure when unlicensed personnel are performing nonsurgical cosmetic procedures. Alternatively, the delegating physician must be available for emergency consultation in the event of an adverse reaction to the treatment. Note that as recently as 2023, the Texas Legislature proposed a bill to strengthen supervision requirements for medical spas, indicating a trend towards stricter regulations.

We invite you to explore our website at Dike Law Group. To initiate a free intake discussion, please go to http://www.dorismeet.com/

The post Five Essential Tips for Starting a Medical Spa in Texas: Part 2, Delegation and Supervision first appeared on Dike Law Group.

Five Essential Tips for Starting a Medical Spa in Texas: Part 1

Doris Dike — Fri, 02 Aug 2024 14:43:26 +0000

Starting a medical spa in Texas requires navigating complex regulations, but with the right guidance, you can succeed in this booming industry. The medical spa industry is thriving across the U.S., and Texas is no exception. The medical spa industry is thriving across the U.S., and Texas is no exception. With innovations in technology enhancing treatment options, patients now experience faster recovery times and fewer side effects. This growth has created a surge in demand for non-invasive procedures, prompting many entrepreneurs to explore the medical spa business.

Why Medical Spas Are Attracting Entrepreneurs

Medical spas offer a lucrative array of services, from Botox® and IV hydration to laser treatments. These cash-pay services are appealing because they bypass the complications of insurance claims, allowing both licensed providers and entrepreneurs to capitalize on high-demand treatments.

Understanding Texas’s Corporate Practice of Medicine (CPOM) Laws

Despite the industry’s rapid expansion, Texas regulations have struggled to keep up. For entrepreneurs eager to start a medical spa in Texas, the legal landscape can seem overwhelming. This blog is designed to help you navigate the legal complexities of opening a medical spa in Texas. While this guide provides essential information, it should not replace professional legal advice.

The Importance of CPOM Laws for Medical Spas

In Texas, you don’t need to be a physician to own a medical spa, but understanding and adhering to Corporate Practice of Medicine (CPOM) laws is crucial. These regulations ensure that only licensed physicians make medical decisions and prevent non-physicians or corporations from influencing medical practices. Because many treatments offered by medical spas are classified as medical procedures, they fall under these laws.

Leveraging the MSO Model for Non-Physician Entrepreneurs

If you’re a non-physician interested in entering the medical spa industry, there’s good news. The management services organization (MSO) model provides a viable path forward. This structure involves two separate entities: the MSO, which manages administrative and operational tasks, and the medical entity, which retains control over medical decision-making. A management services agreement defines the support services provided by the MSO and the compensation it receives.

How the MSO Model Can Help You Stay Compliant

By adopting the MSO model, non-physician entrepreneurs can invest in and manage a medical spa while remaining compliant with Texas regulations. This approach minimizes risk and helps ensure smoother interactions with regulators and licensing boards.

The post Five Essential Tips for Starting a Medical Spa in Texas: Part 1 first appeared on Dike Law Group.

Can a Physician Assistant (PA) Own a Med Spa in Texas?

Doris Dike — Fri, 05 Apr 2024 17:41:13 +0000

Physician assistants (PAs) in Texas are increasingly considering the prospect of owning a med spa as part of their foray into healthcare entrepreneurship. However, the journey to ownership is fraught with challenges, particularly concerning regulatory oversight and legal compliance. In this comprehensive guide, we explore the complexities and possibilities of PAs owning and operating med spas in the Lone Star State.

Understanding Regulatory Oversight

In Texas, the regulation of med spas is overseen by the Texas Medical Board (TMB) and the Texas Department of State Health Services. These regulatory bodies establish guidelines and standards to ensure the safety and efficacy of medical procedures performed in med spa settings. Therefore, PAs aspiring to own a med spa must familiarize themselves with these regulations to navigate the legal landscape effectively.

Scope of Practice Consideration

For PAs contemplating med spa ownership, a critical consideration is understanding the scope of their practice. While PAs are trained to perform a diverse array of medical procedures under the supervision of physicians, the scope may vary when it comes to offering aesthetic services commonly found in med spas. Consequently, PAs must carefully evaluate their training, experience, and legal limitations before incorporating aesthetic services into their practice.

Compliance and Legal Considerations

Compliance with state laws and regulations is paramount for med spa owners, including PAs. From ensuring proper licensure and credentialing to maintaining accurate medical records and adhering to safety protocols, PAs must uphold the highest standards of care to protect patient safety and mitigate legal risks. Additionally, PAs should seek legal counsel to address any regulatory concerns and ensure full compliance with applicable laws.

Business Planning and Execution

Successfully owning and operating a med spa requires careful planning and execution. PAs must develop a comprehensive business plan that outlines their services, target market, marketing strategies, and financial projections. Securing adequate financing, obtaining necessary permits and licenses, and hiring qualified staff are essential steps in launching a med spa venture. Additionally, PAs should invest in ongoing training and professional development to stay abreast of the latest trends and advancements in aesthetic medicine.

Market Opportunities and Consumer Demand

The demand for aesthetic services continues to grow, driven by consumer interest in non-invasive cosmetic procedures. PAs have the opportunity to capitalize on this market demand by offering a range of services, including injectables, laser treatments, and skincare procedures. By understanding market trends and consumer preferences. PAs can tailor their offerings to meet the needs of their target demographic and differentiate themselves from competitors.

Financial Rewards and Entrepreneurial Opportunities

While owning a med spa presents financial rewards and entrepreneurial opportunities. PAs must be prepared to invest time, effort, and resources into their venture. By providing high-quality services, building a strong reputation, and cultivating relationships with clients. PAs can attract a loyal customer base and achieve long-term success in the competitive med spa industry.

Conclusion

The prospect of PAs owning and operating med spas in Texas is attainable but requires careful consideration of regulatory, legal, and business factors. By understanding the regulatory landscape, maintaining compliance with state laws, and executing a well-defined business plan. PAs can turn their entrepreneurial aspirations into reality and thrive in the dynamic field of aesthetic medicine.

The post Can a Physician Assistant (PA) Own a Med Spa in Texas? first appeared on Dike Law Group.

Can a RN Own a Med Spa in Texas?

Doris Dike — Thu, 04 Apr 2024 16:23:18 +0000

Registered Nurses (RN) owning a med spa in Texas is indeed possible, but it comes with a slew of regulatory obligations. While nurses and even unlicensed individuals can venture into med spa ownership, strict adherence to state laws and regulations governing med spas, as well as those regulating the nursing profession and the practice of medicine, is imperative. Although the Texas Board of Nursing (BON) oversees nursing practice in the state, the regulation of med spas is under the jurisdiction of other state agencies, including the Texas Medical Board (TMB) and the Texas Department of State Health Services.

Compliance With Nursing Regulations

For RNs stepping into med spa ownership, compliance with all relevant rules governing the practice of nursing is paramount. This entails ensuring that all nursing tasks are exclusively performed by licensed nurses or other qualified personnel. Moreover, meticulous maintenance of medical records and charts in accordance with state and federal regulations is crucial to maintain professional standards and patient confidentiality.

Adherence to Medical Practice Regulations

RN med spa owners must adhere to all applicable regulations governing the practice of medicine. This includes the delegation of medical tasks not only to themselves but also to any non-physician personnel, including unlicensed staff members. In Texas, RN can only delegate tasks within the scope of their practice and training that do not require independent medical judgment.

Challenges of Med Spa Ownership

While med spa ownership offers lucrative opportunities for RNs to leverage their skills in non-traditional healthcare settings, it also comes with a substantial compliance burden. Failure to meet these compliance requirements could result in complaints filed by either the BON or the TMB, potentially leading to license defense proceedings. Therefore, it’s crucial for nurse entrepreneurs to take regulatory compliance seriously to ensure the success and sustainability of their med spa ventures.

If you’re in need of help, guidance or have questions concerning healthcare business legal matters or trademarks, we invite you to explore our website at Dike Law Group. To initiate a free intake discussion, please go to http://www.dorismeet.com/, where you can schedule a meeting with the attorney. Our services assist healthcare professionals in Texas and throughout the country.

The post Can a RN Own a Med Spa in Texas? first appeared on Dike Law Group.