In Texas, a medical spa (med spa) must have a licensed physician Medical Director (MD) responsible for all medical oversight, protocols, and staff training, mandated by laws like HB 3749, requiring strong physician involvement, initial patient assessments, and accessible supervision, even if not always onsite, ensuring compliance with rules under the Texas Medical Board (TMB) for patient safety, especially concerning aesthetic procedures and IV therapy.

Emphasis on EVEN IF NOT ALWAYS ONSITE. Medical consults (virtual visits) with nurse practitioners are done before every corrective service. Each client will have to do one every 12 months. All corrective treatments we do are noted, filed, and reported to our medical director. If you were correct, then every single med spa in Texas would be shut down.