Can you own a medical practice without being a doctor in Texas?

Asked by: Mr. Barrett Powlowski I  |  Last update: November 23, 2025
Score: 4.1/5 (58 votes)

The Prohibition Against the Corporate Practice of Medicine Among these is Texas' own state law against the corporate practice of medicine. In short, this regulation essentially prohibits any non-licensed physician from (1) owning a medical practice, or (2) employing physicians.

Can a non-physician own a medical practice in Texas?

In Texas, non-MDs generally cannot own or operate a medical practice due to strict regulations embodied in the Corporate Practice of Medicine Doctrine (CPOM).

Can a non-physician own a medical spa in Texas?

Under Texas law, only licensed physicians can own a med spa. Other healthcare professionals, such as licensed nurses, are allowed to hold shares in the business or become minority partners only. This means that at least one physician must be the majority owner of med spas in Texas.

Can a physician assistant own their own practice in Texas?

In contrast, other states allow for ownership or partial ownership. For instance, Texas law allows PAs to co-own a practice with physicians. However, Texas limits the allowable ownership interest and imposes other management restrictions.

Can you open your own practice as a doctor?

Setting up a medical practice involves navigating complex legal matters to ensure full compliance with health care laws and regulations. Medical practices face a range of legal challenges, including insurance regulations, contract negotiations, dispute resolution and regulatory compliance.

Who Can Own a Medical Practice in Texas

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Do you need a doctorate to open your own practice?

Californians seeking to open up their own private practice must have the minimum qualification of a master's degree in psychology.

How much can you make owning your own medical practice?

On the high end of the salary range, about 21 percent of practice owners earned more than $450,000, while only 16 percent of employed physicians earned at this level. Of physicians who are employed, the largest percentage fell within the $200,001–$250,000 bracket.

Can a NP open their own practice in Texas?

Texas NP's have independence in nursing practice, but not prescriptive authority (where they must have an agreement with a physician). The level of supervision required can be categorized into two levels: (1) Supervised Practice; and (2) Collaborative Practice.

Can a medical practice be an LLC in Texas?

Texas requires that professional (meaning persons that must have a license to perform certain services) must set up business entities as professional entities. If you want to set up your medical practice as an LLC, you must choose the PLLC.

What is the difference between a PA and a PLLC in Texas?

Unlike a PA, a PLLC's governing authority may include either appropriately licensed individuals, professional entities providing the same service as the PLLC, or both. PLLCs are not required to have officers. PLLCs are taxed like LLC's with pass-through taxation of the members. PLLCs control with a company agreement.

Can a chiropractor own a med spa in Texas?

In Texas, because med spas are medical practices they must adhere to state laws governing professional entities. These laws dictate that only physicians can be the rightful owners of medical practices, with certain exceptions granted to podiatrists, chiropractors, optometrists, and in some cases, physician assistants.

Can you practice massage without a license in Texas?

Licenses are issued by government entities and provide licensed professionals with specific authority to use a protected title and/or perform specific services. In Texas, a state license is required to advertise or practice massage therapy.

Who can inject Botox in Texas?

By law, estheticians and cosmetologists can only perform injections, including Botox, under the authority of a physician. Enforcement of this statute lies with the Texas Medical Board (TMB), not the Texas Department of Licensing and Regulation (TDLR).

Can a non-physician own a Medspa in Texas?

In summary, while non-physicians can provide administrative support for a med spa or can be an owner, the medical operations must be under the control and supervision of a licensed physician. This ensures that all medical treatments are performed safely and in accordance with Texas law.

What happens when the owner of a medical practice dies?

Medical Practice Requires a Medical Professional

The Medical Board of California will allow a medical professional's successor in interest (heir) to continue to run the practice by employing a contract medical professional for up to six months pending transfer of the practice.

Can a chiropractor own a medical clinic in Texas?

The short answer is Texas does not allow non-physicians to own businesses that practice medicine or employ physicians to provide professional medical services. This is known as the corporate practice of medicine (“CPOM”) doctrine.

Can a non-medical person own a medical practice in Texas?

The Prohibition Against the Corporate Practice of Medicine

Among these is Texas' own state law against the corporate practice of medicine. In short, this regulation essentially prohibits any non-licensed physician from (1) owning a medical practice, or (2) employing physicians.

What is the difference between a PLLC and an LLC in Texas?

With an LLC, anyone can be a member, or owner, of the business. State PLLC laws often provide that only licensed professionals can be members, or that a certain number of members must be licensed professionals. A PLLC cannot be used to shield the members from claims for malpractice.

Can LLC write off medical expenses?

You can deduct all the insurance premium payments from your tax return. In addition, if your medical expenses add up to more than 7.5% of your adjusted gross income, you may be able to write some of them off on your taxes. These expenses must be unreimbursed by others, for example, your health insurance.

Can I open my own practice as an NP?

Nurse practitioners can open their own practice in the same 27 states that offer full practice authority: Alaska, Arizona, Colorado, Connecticut, Delaware, Hawaii, Idaho, Iowa, Kansas, Maine, Maryland, Massachusetts, Minnesota, Montana, Nebraska, Nevada, New Hampshire, New Mexico, New York, North Dakota, Oregon, Rhode ...

Can a DNP be called a doctor in Texas?

The organization Texas Nurse Practitioners notes that Texas law allows individuals with a doctoral degree in nursing to use the title “doctor” as a professional identification.

Can an NP open a medical spa in Texas?

In Texas, ownership of med spas, also known as med spas or medical spas, is restricted solely to licensed physicians. This exclusion encompasses nurse practitioners, estheticians, and other non-physicians.

How much is a small medical practice worth?

Medical practices have sold for multiples of 0.5-2.5 times their annual revenue. Multiples of 0.5-0.9 times revenue are becoming more common than higher ones for general practices, but multiples vary substantially depending on factors like: Whether the method factors in costs.

Why are doctors leaving private practice?

The cost of managing a medical practice — whether in primary care or a specialty — has surged. Labor costs, rent, and premiums for malpractice insurance have grown more expensive. Physicians have had to make significant investments in information technology and electronic health records.

What percentage of doctors own their own practice?

In 2022, only 44% of physicians owned their own practice. The report shows that the number one reason that physicians sell their practices to hospitals and health systems is related to payment concerns.