Aesthetic NP Practice Authority

Aesthetic Nurse Practitioner Scope of Practice in Texas

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.

Texas — Restricted Practice

Can an NP own an aesthetic practice solo in Texas?

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.

Collaborative agreement / physician relationship

Prescriptive Authority Agreement (PAA) with a delegating physician required.

Good-faith exam (GFE) rules — aesthetic context

GFE required. Telehealth GFE permitted under TX Med Board rules §174.5 with restrictions.

RN injection scope in Texas

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.

Sources