How to Open a Nurse-Owned Practice in Texas

If you're a nurse in Texas, you've probably pictured what life would be like if you ran your own aesthetics, wellness, or functional health practice. Setting your own schedule, reaping the rewards, and doing the clinical work you enjoy without the bedside grind and the burnout that come with it.

The demand for aesthetics, wellness and functional health services in Texas is real, and so is the growing opportunity. The part that stops most Texas nurses isn't the clinical work, but everything around it, as Texas makes it harder than most states for nurses to launch and grow their own practices. The good news is that it's very solvable, and more Texas nurses are figuring that out.

Can a nurse own an aesthetics, wellness, or functional health practice in Texas?

In Texas, medical aesthetics, along with many wellness and functional health services, are legally the practice of medicine. They involve prescription products, medical devices, and clinical judgment, so the state regulates them like a physician's office.

Because of that, there’s a Texas rule called the corporate practice of medicine controls who can own a practice that delivers medical care. In plain terms, a nurse generally can't just open and own a medical practice outright in Texas. The ownership has to be structured a specific way, with a physician in a defined role.

This is the wall most Texas nurses hit. It stops a lot of them from starting at all. It's also completely solvable, and that is where Five Square comes in.

How does Five Square help nurses open a practice in Texas?

Five Square gives you a compliant practice structure that already exists, plus the training, oversight, and support to run it.

Through Five Square’s compliant Texas setup, the corporate practice of medicine requirement is handled. A Five Square physician owns the practice, and the structure underneath is built so you run your own business inside it, the right way, without spending months and thousands of dollars on navigating the legal nuances yourself.

Once that's handled, your Five Square membership gives you:

• A medical director, so your practice has the physician oversight Texas requires, set up and ready to go.
• Compliance guidance that keeps you fully informed of the requirements.
• Hands-on training, so you build real clinical skill and confidence, whether you're new to aesthetics, wellness, or functional health - or expanding what you already offer.
• Pharmacy and product setup with member pricing, so you're not sourcing and negotiating on your own.
• Marketing and sales support to help you actually fill your schedule.
• A private community of nurse business owners doing exactly what you're doing, who answer questions and share what works.

You bring the nursing license and the drive, and Five Square will bring the structure and the support to build on it. We do the heavy lifting on the parts that stall everyone else, so your energy goes to your patients and your growth.

Five Square supports three kinds of practice. You can run one or combine them:

• Aesthetics. Tox and dermal fillers, the core of a nurse-injector practice, with room to add advanced services as you train.
• Wellness. IV therapy and vitamin injections, which pair naturally with aesthetics and let you serve patients who want to feel better, not just look better.
• Functional Health. A deeper, longer-term model built around peptides and peptide sciences, lab work, and whole-person care, for nurses who want a clinical, relationship-based practice.

Has Five Square done this before?

Yes. Five Square already supports many nurse-owned practices across many other states, and Texas. The structure works because real nurses have built, used, and refined it while running real businesses.

That community is part of what you join. Most nurses who start a practice are doing it alone for the first time, guessing as they go. Five Square nurses have a medical director, a team behind them, and a room full of other nurse owners who have already answered the question they're about to ask.If you've been thinking about it, the next step is simple. Book a discovery call with Five Square. We'll walk you through how the Texas structure works, what launching looks like for your license and your goals, and how soon you could be seeing your own patients.

Common questions about starting a practice in Texas

Can a registered nurse own a med spa in Texas? Not outright, the way many people assume. Texas treats medical aesthetics as the practice of medicine, and its corporate practice of medicine rule means the practice must be owned and structured with a physician in a specific role. Five Square provides that compliant structure so nurses can run their own practice within it.

Do you need a medical director for aesthetics in Texas? Yes. Texas requires physician involvement and oversight for medical aesthetic services. Every Five Square practice includes a medical director, set up as part of the membership.

Can a nurse do Botox in Texas? Yes, within a compliant structure and with the physician oversight the state requires. The question is rarely whether a nurse can do the clinical work. It's whether the practice around it is set up in a compliant way.

How fast can I open a practice with Five Square in Texas? Faster than going it alone, because the legal structure already exists. Most nurses are up and running in about 30 days. Instead of building it from scratch, you step into a framework that works. A discovery call is the quickest way to get a real timeline for your situation.