If you’re planning to open a medspa, IV hydration bar, weight loss clinic, telehealth practice, or another health and wellness business, and you’re not a physician, you’ve probably asked yourself: Do I actually need a medical director for this? The honest answer is that for many businesses offering prescriptions, injections, IV therapy, laser treatments, or other clinical services, the answer is yes. However, the specific requirements depend on far more than your business category alone.
When asking, "Do I need a medical director for my business?" you need to consider eight factors: your business type, your state laws, your clinical license (or lack of one), your staff structure, your service menu, your growth plans, your supplier and pharmacy access needs, and whether you bill insurance.
This guide is designed as a practical self-assessment tool, not a one-size-fits-all answer. The eight factors below will help you determine exactly where your business stands.
A Quick Answer by Business Type (Before the 8 Factors)
One of the most common questions clinic owners ask is, "Does my business need a medical director?" The fastest way to get a preliminary answer is to start with your business type. While state laws, ownership structure, and service offerings all influence the final answer, certain businesses almost always require physician oversight because they involve prescribing, injections, IV therapy, or other medical procedures.
The table below provides a quick reference for common healthcare, wellness, and aesthetics businesses. Think of it as a starting point rather than a final determination. Some businesses fall into a clear "yes" or "no" category, while others depend on factors such as state regulations, practice authority rules, and the services being provided.
If your business type says "yes" or "depends," the 8 factors below will help you understand exactly what compliance looks like for your specific situation.
The 8 Factors That Determine Whether Your Business Needs a Medical Director
The quick-reference table above provides a useful starting point, but most business owners need a deeper analysis before making a final decision. Factors such as state laws, ownership structure, service offerings, and staffing can significantly affect whether physician oversight is required. For many businesses that fall into the "yes" category, the real question is not whether to get a medical director but how quickly to establish a compliant physician relationship—and Medical Director Co. can place a qualified physician within 24 hours.
Factor 1 — Your Business Type and the Services You Offer
Services That Typically Require Physician Oversight
- The following services generally require physician authorization, supervision, or delegation:
- Botox (onabotulinumtoxin A), an FDA-approved prescription biologic
- Dermal fillers, which are prescription-only products in clinical practice
- IV therapy involving prescription IV medications or components
- GLP-1 medications such as semaglutide and tirzepatide
- Controlled substances, including phentermine
- Prescription-level laser treatments
- PRP and PRF procedures
- Hormone replacement and optimization therapies
The first and most important factor is whether your services are considered the practice of medicine. Across all 50 states, activities that involve diagnosing, prescribing, treating, or performing clinical procedures generally fall within the legal definition of medical practice and require appropriate physician oversight.
Services That Typically Do Not Require Physician Oversight
Many wellness and aesthetic services remain outside the practice of medicine when performed within the provider’s licensed scope:
- Facials
- Waxing
- Non-invasive body treatments
- Lifestyle coaching
- Non-prescriptive nutritional guidance
- Non-laser skincare devices and treatments
The "One Service Changes Everything" Principle
Many business owners assume they can add a single medical treatment to an otherwise non-medical operation without changing their compliance obligations. In reality, adding even one medical service can change the classification of the entire business.
For example, an esthetician-owned skincare studio that offers facials and waxing generally does not require physician oversight. The moment Botox, fillers, prescription-strength peels, or medical laser procedures are added, the business enters the medical practice space and physician oversight becomes necessary.
The Escalation Principle
The more complex and invasive your services become, the more involved physician oversight typically needs to be. A clinic offering only basic injectables may require a different level of supervision than a practice providing GLP-1 prescribing, IV therapy, PRP treatments, hormone therapy, and controlled substances.
A simple test can help clarify your situation: Would you need a prescription or a physician’s order to purchase, administer, or perform the service? If the answer is yes, your business needs a medical director.
Factor 2 — Your State's Practice Authority Laws
Restricted Practice States: Physician Oversight Required
Approximately 11 states maintain restricted-practice frameworks for nurse practitioners. In states such as Texas, Pennsylvania, Georgia, and North Carolina, physician oversight is required for NP prescribing and many clinical activities.
For business owners in these states, the answer is generally straightforward: a physician medical director is legally required if the business provides medical services.
State law is the second major factor that determines whether physician oversight is required and what form that oversight must take. Two businesses offering identical services may face very different compliance requirements simply because they operate in different states.
Reduced Practice States: Collaboration Required
Reduced-practice states permit greater NP autonomy but still require physician collaboration for certain functions. Florida, New York, Louisiana, and Alabama are examples of states where physician involvement remains necessary in many clinic settings.
In most aesthetics, wellness, and specialty clinics operating in reduced-practice states, physician oversight remains part of the compliance framework.
Full Practice Authority States: More Independence, Not Always Fewer Requirements
Approximately 30 states and Washington, D.C. grant full practice authority (FPA) to nurse practitioners. States such as Arizona, Colorado, Oregon, Washington, Montana, and Wyoming allow qualified NPs to diagnose, treat, and prescribe independently.
In these states, an NP-owned clinic may not legally require a physician medical director for certain practice models. However, that does not always eliminate the practical need for a physician relationship.
The Practical Reality in FPA States
- Even when state law does not require physician oversight, businesses often encounter operational barriers:
- Allergan/AbbVie and Galderma may require physician credentials for injectable accounts
- Some compounding pharmacies require physician authorization for GLP-1 compounds
- Certain malpractice insurers request physician oversight documentation for specialty or aesthetic coverage
The CPOM Overlay
Corporate Practice of Medicine (CPOM) rules create another layer of complexity. States such as California, Texas, Florida, and New York impose restrictions on how medical practices are owned and operated.
As a result, physician involvement may be embedded into the ownership structure through a Management Services Organization (MSO) arrangement, even when an NP has broad prescribing authority.
Bottom line: In restricted and most reduced-practice states, a medical director is legally required. In many FPA states, a medical director is not always legally required but is often practically necessary.
Three-Tier Practice Authority Map
Factor 3 — Your Owner's Clinical License (Or Lack of One)
Profile 1: Physician-Owned (MD or DO)
A physician-owned clinic is the simplest compliance structure. The physician-owner serves as the medical director, holds prescriptive authority, signs standing orders, and supervises clinical staff. No external medical director is needed because the physician-owner already fulfills that role.
The owner’s professional license is another major factor in determining whether a medical director is required. In most cases, the less independent clinical authority the owner has, the greater the need for physician involvement.
Profile 2: NP-Owned in a Full Practice Authority State
In many FPA states, nurse practitioners can legally own and operate clinics without physician supervision for standard prescribing services. However, medspas and specialty clinics often face practical barriers. Injectable distributors may require physician credentials, and compounding pharmacies may require physician authorization for GLP-1 therapies. Physician involvement is often beneficial even when not legally mandated.
Profile 3: NP-Owned in a Restricted or Reduced-Practice State
This is one of the most common scenarios for Medical Director Co. clients. In these states, physician oversight is required through collaborative agreements, delegation arrangements, or similar state-specific structures. Without physician involvement, the NP cannot independently provide many prescribing services.
Profile 4: RN, Esthetician, or Non-Clinical Entrepreneur-Owned
When a business owner does not have independent prescriptive authority, physician involvement becomes essential if the business offers medical services. RNs, estheticians, investors, and other non-clinical owners cannot independently authorize prescriptions, injections, or clinical procedures. In many states, CPOM rules also require physician participation through an MSO structure.
For most healthcare-adjacent businesses, physician ownership is the only ownership model that eliminates the need for an external medical director.
Factor 4 — Your Staff's Clinical Licenses
Scenario A: Solo NP Owner With No Other Clinical Staff
In a full practice authority (FPA) state, a solo NP may be able to operate without a physician medical director for certain services. In a restricted-practice state, however, a physician collaborative agreement is required for the NP’s prescribing activities.
Even if the owner has the appropriate credentials, the composition of the clinical team can change the medical director requirement. In restricted-practice states, every provider who prescribes medications or performs clinical procedures must have a compliant authorization chain back to a supervising physician.
Scenario B: NP Owner With RN Injectors
This arrangement typically requires a physician medical director. RN injectors need physician-issued standing orders and delegation authority to administer Botox, fillers, and similar treatments. Even when the NP has prescribing authority, RN delegation generally flows from the physician—not from the NP.
Scenario C: Non-Clinical Owner With NP Injectors
The NP requires physician collaboration in restricted states, while the non-clinical owner may need an MSO structure in CPOM states. Physician oversight supports both the prescribing chain and the business structure.
Scenario D: Non-Clinical Owner With RN Injectors Only
This is one of the highest-risk arrangements without physician oversight. RNs cannot independently prescribe medications or authorize treatments. A physician medical director is needed to issue standing orders and supervise clinical protocols.
Scenario E: Physician-Owned Clinic With NP and RN Staff
In this scenario, the physician-owner serves as the medical director. Internal standing orders, delegation agreements, and collaborative arrangements are managed within the physician’s authority, eliminating the need for an external medical director.
Factor 5 — Your Service Menu and Procedure Types
Tier 1 — Non-Medical Services (No Physician Required)
- These services generally fall within esthetician or wellness-provider scope and do not require physician oversight:
- Facials
- Waxing
- Eyebrow threading
- Non-injectable body contouring devices
- Non-prescription skincare application
As long as the business remains within this category, a medical director is generally unnecessary.
Not all medical services carry the same level of compliance responsibility. The complexity of your service menu influences both whether physician oversight is required and how involved that oversight needs to be.
Tier 2 — Basic Medical Aesthetic Services
- These services require physician oversight in most states:
- Botox
- Standard hyaluronic acid fillers
- Superficial and medium-depth chemical peels
- Laser hair removal
- IPL photofacials
This is the category where most medspa medical director relationships begin.
Tier 3 — Advanced Aesthetic and Prescription Services
- These services require more active physician involvement and more detailed protocols:
- Sculptra and Radiesse
- PRP and PRF treatments
- Ablative and fractional laser procedures
- GLP-1 weight loss medications
- B12 and lipotropic injections
- IV therapy
As complexity increases, physician chart reviews, standing orders, and treatment protocols typically become more robust.
Tier 4 — Controlled Substances and Hormone Therapy
- This category carries the highest compliance burden:
- Phentermine (Schedule IV)
- Testosterone replacement therapy (Schedule III)
- Ketamine (Schedule III)
- Compounded hormones
- Certain peptide-based treatment programs
These services often require physician oversight, DEA registration, and additional controlled-substance documentation.
The Service Escalation Risk
One of the most common compliance gaps in 2026 occurs when clinics expand their service menu without updating their oversight structure. For example, a Botox clinic that later adds GLP-1 prescribing may need updated standing orders, collaborative agreements, and physician protocols. Expanding services without updating compliance documents can create significant regulatory risk.
Factor 6 — Your Supplier and Pharmacy Access Needs
Gatekeeper 1: Injectable Manufacturers and Distributors
Many major manufacturers and distributors require prescriber credentials before opening product accounts.
- Examples include:
- Allergan/AbbVie (Botox, Juvederm)
- Galderma (Dysport, Restylane, Sculptra)
- Merz (Xeomin, Radiesse)
- Evolus (Jeuveau)
- Distributors such as Henry Schein, DeWitt Pharma, and Innova Medical
Without a qualifying prescriber relationship, businesses may be unable to legally purchase injectable products.
Many business owners focus exclusively on state laws when evaluating whether they need a medical director. In reality, supplier and pharmacy requirements often become the deciding factor. Even when physician oversight is not strictly required by law, it may be required to operate the business.
Gatekeeper 2: Compounding Pharmacies
Compounding pharmacies supplying semaglutide, tirzepatide, NAD+, and other prescription compounds generally require prescriber authorization and account verification.
For many clinics, physician involvement is necessary before these accounts can be established and maintained.
Gatekeeper 3: LegitScript and Google Advertising
Healthcare businesses advertising prescription or injectable services often need Healthcare and Medicines certification through LegitScript before running Google Ads campaigns.
Physician credentials can support approval processes and reduce compliance issues during account reviews.
Why This Factor Matters
This is one of the most overlooked medical director requirements by business type. Even if your state does not legally require physician oversight, your distributors, pharmacies, and advertising platforms may. In practice, many businesses discover they cannot order products, access medications, or market services effectively without an established physician relationship.
Factor 7 — Your Business Size, Growth Trajectory, and Multi-State Plans
Stage 1 — Startup / Single-Provider Practice
For businesses with one to three staff members operating from a single location, the analysis is usually straightforward. If your state requires physician oversight for your services, the answer is clear. If you’re an NP in a full practice authority state offering a limited service menu, you may have more flexibility. However, supplier requirements, pharmacy access, and future expansion plans often bring physician oversight into the picture sooner than expected.
The answer to "Do I need a medical director?" can change as your business grows. A solo provider operating from a single location may have different compliance requirements than a multi-location practice serving patients across several states.
Stage 2 — Established / Multi-Provider Practice
Once a clinic grows to four to ten staff members, compliance becomes more complex. Adding NPs, PAs, or RN injectors creates delegation and supervision requirements that typically require physician involvement. In most states, multi-provider practices need a physician to oversee standing orders, protocols, and clinical authorization pathways.
Stage 3 — Multi-Location or Multi-State Operations
Growth across multiple locations introduces an entirely new layer of compliance. Each state has its own licensing rules, delegation requirements, and Corporate Practice of Medicine (CPOM) considerations. A physician licensed in one state generally cannot oversee clinical services in another state where they are not licensed. Multi-state businesses often require physician coverage in every state where patients receive care.
The best time to establish physician oversight is before expansion begins. Building a compliant structure from the start is significantly easier than trying to retrofit compliance into a growing business later.
Factor 8 — Whether You Bill Insurance or Are Strictly Cash-Pay
Cash-Pay and Direct-Pay Practices
Most medspas, wellness clinics, IV hydration businesses, and aesthetic practices operate on a cash-pay model. In these settings, federal laws such as the Anti-Kickback Statute (AKS) and Stark Law generally do not apply because no Medicare or Medicaid claims are being submitted.
However, state-level fee-splitting and anti-kickback rules still apply. Physician compensation should typically be structured as a fixed monthly fee or fair-market-value arrangement rather than a percentage of revenue. Even in cash-pay businesses, physician oversight may still be required to authorize prescriptions, standing orders, and clinical procedures.
The final factor is how your business gets paid. While insurance billing does not always determine whether a physician is required, it does affect the regulatory framework governing your physician relationship.
Insurance-Billable Practices
Businesses that bill Medicare, Medicaid, or other government healthcare programs face additional compliance requirements. Physician compensation arrangements must satisfy applicable safe-harbor standards, including fair-market-value compensation that is not tied to referral volume or service utilization.
Because of these additional rules, physician relationships in insurance-participating practices often require review by a healthcare attorney.
Practical Takeaway
For most cash-pay medspas and wellness businesses, the other seven factors will determine whether a physician is required. For insurance-participating practices, physician oversight arrangements require additional legal and regulatory scrutiny beyond standard medical director considerations.
The 8-Factor Self-Assessment: Your Quick Decision Guide
Self-Assessment Checklist
☐ Does your business offer Botox, fillers, IV therapy, laser treatments, or any prescription-based procedure? → Yes = Medical director likely required
☐ Do you operate in a restricted or reduced-practice state such as Texas, Florida, Pennsylvania, Georgia, or North Carolina? → Yes = Medical director likely required
☐ Are you an RN, esthetician, non-clinician, or business investor rather than an MD, DO, or FPA-state NP? → Yes = Physician oversight is typically required
☐ Do you need to open product accounts with Allergan/AbbVie, Galderma, or other injectable distributors? → Yes = Physician credentials often required
☐ Do you need access to a compounding pharmacy for GLP-1 medications, NAD+, peptides, or other prescription compounds? → Yes = Physician authorization often required
☐ Do you plan to hire RN injectors, NP prescribers, or PA staff? → Yes = Physician delegation framework required in most states
☐ Do you plan to expand beyond one location or operate in multiple states? → Yes = Additional physician licensing coverage required
☐ Do you plan to advertise injectable or prescription services through Google Ads? → Yes = LegitScript and healthcare advertising requirements may require physician support
If you’ve made it this far, you can probably see why there isn’t a one-size-fits-all answer to the question, "Does my business need a medical director?" The checklist below combines the eight factors discussed above into a quick decision tool. If you answer "yes" to any of these questions, physician oversight is likely required or strongly advisable.
Score Interpretation
If you answered yes to three or more of these questions, the path forward is clear—and Medical Director Co. can get you placed in 24 hours.
What Happens If You Don't Have a Medical Director When You Need One?
1. Regulatory Enforcement
State regulators can issue cease-and-desist orders, conduct audits and investigations, and impose significant penalties. Depending on the state and violation, fines can range from $5,000 to $50,000 per violation. Agencies such as the Texas Medical Board, the Florida Board of Medicine, and the California Medical Board routinely investigate complaints of unauthorized medical practice.
Operating without a required medical director creates legal, financial, and operational risks. These risks are not hypothetical. State medical boards, nursing boards, and health departments actively investigate businesses that provide medical services without proper physician oversight.
2. License Discipline for Clinical Staff
RNs and NPs who prescribe or perform clinical services without proper physician oversight may face disciplinary action from their licensing boards. Penalties can include probation, suspension, or loss of licensure.
3. Civil Liability Exposure
If a patient experiences harm and investigators determine that no valid physician oversight structure existed, liability exposure increases substantially. Industry reports place many aesthetic adverse-event settlements in the $150,000 to $200,000 range, with some cases exceeding those figures.
4. Business Disruption
Regulatory investigations can force clinics to suspend services, freeze expansion plans, and temporarily close operations. Supplier accounts may be restricted, revenue can stop immediately, and reputational damage can persist long after the investigation ends.
The goal is not to create fear. It’s to understand that physician oversight is often a foundational compliance requirement, not an optional business expense.
How Medical Director Co. Answers the "Do I Need One?" Question for Your Business
Many clinic owners begin their search with uncertainty. They know they may need physician oversight but are not sure what type of relationship, documentation, or structure their business requires. Medical Director Co. helps answer those questions before matching you with a physician.
When you apply, the team reviews your state, ownership profile, service menu, staffing model, and business goals. This assessment helps determine whether you need a medical director, a collaborative agreement, standing orders, an MSO structure, or a combination of compliance documents.
Once your needs are identified, Medical Director Co. matches you with a physician licensed in your state through its nationwide physician network. Most placements occur within 24 hours.
The service also includes preparation of the required compliance documents, helping ensure that the physician relationship aligns with your business model and state requirements. Pricing is straightforward at $799 per month, with no hidden fees or long-term commitments.
If you’re unsure where your business falls on the compliance spectrum, applying is often the fastest way to get clarity on your next steps.
Frequently Asked Questions About Whether Your Business Needs a Medical Director
Do I need a medical director for a medspa?
Yes, in virtually all cases. Medspa services such as Botox, dermal fillers, laser treatments, and certain chemical peels are classified as medical procedures and require physician oversight. In many states, a physician must authorize protocols, standing orders, and clinical procedures. States with Corporate Practice of Medicine (CPOM) restrictions may also require physician involvement in the ownership structure. If your medspa offers prescription-based or invasive treatments, physician oversight is generally a compliance requirement rather than an optional business decision.
Does an IV hydration clinic need a medical director?
Yes. IV hydration clinics administer substances that typically require prescriptive authority to purchase, order, and administer. These may include saline solutions, vitamins, anti-nausea medications, and other infusion therapies. Most distributors and pharmacies require physician credentials or authorization as part of the account approval process. In Texas, HB 3749 (Jenifer’s Law) introduced additional requirements surrounding IV therapy delegation and supervision. A medical director helps establish the protocols and authorization framework necessary to operate compliantly.
Do I need a medical director if I’m an NP in a full practice authority state?
It depends. In a full practice authority state, an NP may be able to diagnose, prescribe, and operate certain practice types without physician supervision. However, legal authority does not always eliminate operational requirements. Injectable manufacturers, distributors, compounding pharmacies, and insurers may still request physician involvement. In states with CPOM restrictions, physician participation may also be necessary through an MSO structure. Before assuming physician oversight is unnecessary, verify the requirements imposed by suppliers, pharmacies, insurers, and state regulations.
Does an esthetician need a medical director to offer Botox?
Yes. Botox is an FDA-approved prescription biologic and cannot be independently purchased or administered by an esthetician. Any business offering Botox requires appropriate prescriptive authority, physician oversight, and clinical protocols. An esthetician may own or participate in a compliant business structure depending on state law, but physician involvement remains necessary when injectable services are added. This is a common example of how a business transitions from a non-medical operation into a medical practice once prescription-based services are introduced.
Does a GLP-1 or weight loss clinic need a medical director?
Yes, in most cases. GLP-1 medications such as semaglutide and tirzepatide are prescription-only therapies. Physician oversight is often necessary for prescribing, protocol development, pharmacy relationships, and compliance documentation. Additional oversight requirements may apply when clinics also prescribe medications such as phentermine or provide hormone-based weight management services. Even in states with broad NP authority, pharmacies and suppliers frequently require physician authorization as part of the account setup and prescribing process.
Can an RN open a wellness clinic without a medical director?
It depends on the services offered. If the wellness clinic provides only non-medical services such as coaching, education, or lifestyle guidance, physician oversight may not be required. However, if the clinic offers Botox, IV therapy, weight loss medications, hormone treatments, or other prescription-based services, a physician medical director is generally necessary. RNs do not have independent prescriptive authority and therefore cannot authorize these treatments on their own. Physician-issued standing orders and clinical oversight are typically required.
Does a telehealth practice need a medical director?
It depends on both the state and the services provided. In some full practice authority states, an NP may operate certain telehealth services without physician supervision. However, physician involvement is often necessary when prescribing GLP-1 medications, controlled substances, hormone therapies, or other regulated treatments. Multi-state telehealth creates additional complexity because providers must comply with licensing and practice requirements in every state where patients receive care. Physician oversight becomes increasingly important as telehealth services expand across state lines.
Does a healthcare tech startup need a medical director?
Not always. A software platform that focuses on scheduling, billing, electronic health records, or administrative workflows generally does not need a physician medical director. The analysis changes when the platform facilitates prescribing, treatment recommendations, patient evaluations, or other clinical activities. At that point, physician oversight or clinical leadership may become necessary depending on the business model and applicable state laws. Healthcare technology companies should evaluate whether their platform is performing administrative functions or participating in clinical decision-making.
What are the consequences of opening a medspa without a medical director?
Operating a medspa without required physician oversight can expose the business to multiple risks. Regulatory agencies may issue cease-and-desist orders, conduct investigations, or impose financial penalties. Licensed staff may face disciplinary action if they perform services outside a compliant authorization structure. Civil liability exposure also increases if a patient experiences harm and there is no documented physician oversight in place. Operational disruptions can be significant, including supplier account restrictions, temporary closures, and reputational damage that affects long-term growth.
How quickly can I get a medical director once I decide I need one?
Medical Director Co. can typically match clinic owners with a qualified physician within 24 hours. The process includes reviewing the business model, state requirements, service menu, ownership structure, and staffing needs to identify the appropriate physician relationship. The team also assists with compliance documentation, including collaborative agreements, standing orders, physician protocols, and MSO-related documents where applicable. Most businesses can move from application to a compliant physician arrangement within a matter of days rather than weeks.
If Your Answer Is Yes — Get a Medical Director Placed in 24 Hours
If you’ve worked through the eight factors and determined that your business needs physician oversight, the next step is finding the right physician and compliance structure. Medical Director Co. simplifies that process by matching you with a licensed physician in your state within 24 hours, preparing the required documents, and providing an all-in solution for $799 per month with no hidden fees. If you’re still unsure, that’s okay too. The application takes just 5–10 minutes, and the team will help determine exactly what type of physician relationship your business needs.
Blaz Korosec is the CEO and co-founder of Medical Director Co., a nationwide platform that connects aesthetic and wellness professionals with licensed physicians for medical oversight, supervision, and compliance support. With a background that bridges healthcare operations, regulatory compliance, and entrepreneurial growth, Blaz has worked closely with hundreds of nurses, physician assistants, and clinic owners to help them legally launch and scale medical spas, telehealth weight loss clinics, IV hydration businesses, and aesthetic practices.
Blaz holds a degree in finance from Southern Methodist University (SMU) and has built a diverse portfolio of businesses ranging from healthcare to hospitality, including a national network of RV parks and medical clinics. Through MedicalDirector.CO, he’s developed a deep understanding of the state-by-state rules that govern collaborative agreements, PC/MSO structures, telemedicine protocols, and injectable treatments—translating complex legal frameworks into easy-to-implement solutions for clinicians and business owners.
Blaz is particularly passionate about helping nurses and mid-level providers unlock business ownership opportunities, and he’s known for designing systems that streamline operations, boost revenue, and ensure long-term legal protection. His team includes former prosecutors, senior RNs, and physicians who together support a growing number of clinics across all 50 states.
When he’s not working, Blaz enjoys mountain biking, restoring properties, and exploring the outdoors with his wife. He’s based in Texas but works with clients nationwide.
