Aesthetic NP Practice Authority
What an NP, PA, or RN entering aesthetic medicine in Texas needs to know — sourced from the AANP State Practice Environment + the Texas Board of Nursing.
No. TX requires physician delegation via a Prescriptive Authority Agreement. Solo NP-owned aesthetic practices use an MSO/PC structure with a Texas-licensed medical director.
Prescriptive Authority Agreement (PAA) with a delegating physician required.
GFE required. Telehealth GFE permitted under TX Med Board rules §174.5 with restrictions.
RNs may inject aesthetic medications (botulinum toxin, dermal fillers, fat-dissolving) under a valid prescriber order and approved protocol. Only PRESCRIBING requires a licensed NP/MD/DO. Verify with your board.
Free. 7 minutes. Returns a state-specific 90-day roadmap to opening your own aesthetic practice. Built by Faisal Darwiche, NP — 27 years, three practices, the Aesthetic Show faculty. The plan I'd hand my younger self.