Texas enforces some of the strictest medical director requirements for med spas in the country. The Texas Medical Board requires physicians to provide "adequate supervision" for medical aesthetic procedures performed by non-physicians.
For invasive procedures like Botox, fillers, and laser treatments, the physician must be readily available. This typically means:
On-site at the facility, or
Immediately accessible by phone
Texas Supervision Standards
Texas regulations require physicians to:
Establish written protocols for all procedures
Train staff on those protocols
Maintain documentation of supervision
Conduct regular quality assurance reviews
The medical director must be licensed in Texas with an active, unrestricted license. They cannot be facing disciplinary action or have any restrictions that would prevent supervising medical procedures.