TRT in Texas

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How to check a Texas TRT clinic before you book

Four checks, about ten minutes, all free. Do them before you hand over a card number.

Why a hormone specialist, and why check

You'll get the most out of a clinician who treats low testosterone every week: someone who knows the testing, dosing and follow-up labs cold. These checks help you find one, and steer clear of the ones that just sell it.

The stakes

Testosterone is a controlled medication. Plenty of the businesses selling it online are hard to pin down: who's prescribing, from where, under what license. Ten minutes of checking protects your health and your money.

Check 1: Look up the prescriber's license

  • Physicians and physician assistants: use the Texas Medical Board's license lookup at tmb.texas.gov. If a full-name search comes up empty, the Board suggests trying last name plus first initial, or last name plus city. The result shows license status and any Board actions.
  • Nurse practitioners: use the Texas Board of Nursing's license verification portal at txbn.boardsofnursing.org/licenselookup. The Board links to it from its license verification page. It shows the APRN license and whether the NP holds prescriptive authority. Nursys QuickConfirm (nursys.com/LQC/LQCTerms.aspx) is a free national alternative.
  • NPs and PAs prescribing controlled drugs: in Texas they prescribe under a physician's delegated authority and need their own DEA registration (22 TAC 174.2). It's fair to ask who the supervising physician is.
  • Look for an active status. Read any listed Board action before you decide.

Check 2: Find out who is actually treating you

Ask the clinic to name the licensed clinician who will order your labs and sign your prescription. "Our medical team" isn't an answer. If the website names nobody, ask by phone. If they still won't say, walk away.

Check 3: Know the telemedicine rules

  • Federally, testosterone is on the DEA's Schedule III list of controlled substances, with the anabolic steroids. Source: 21 CFR 1308.13
  • Texas Medical Board rule 22 TAC 174.5 says a prescription issued after a telemedicine visit is valid only under the same standards that apply in person. It must be for a legitimate medical purpose, within a real patient-practitioner relationship, and it stays subject to the federal and Texas Controlled Substances Acts. Source: 22 TAC 174.5, last amended effective Oct 7, 2021
  • What that means for you: a legitimate telehealth prescriber still has to take a full history and work from real lab results. A website that ships testosterone after a short quiz isn't meeting that standard.

Check 4: Watch for red flags

Be careful if a clinic:

  • prescribes after one test, or none
  • doesn't ask whether you want children, or brushes it off
  • pushes a long prepaid package before you've seen your labs
  • gives everyone the same plan, regardless of labs
  • never mentions follow-up labs or your blood count
  • promises TRT will fix energy, focus or weight (the AUA calls that evidence inconclusive)
  • upsells peptides or "stacks" before your basic labs are done

Then bring the right questions

Once a clinic passes these checks, take our printable question list to your first visit.

Pick your city

Houston · Dallas · Austin · San Antonio · Fort Worth

TRT in Texas is a referral guide. We don't diagnose, prescribe or sell testosterone.