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Texas
In Texas, NAD IV therapy and NAD injections from a medical provider are offered in physician practices, IV and infusion suites, and med spas that work under a medical director. Most of that supply sits in four metros: Houston, Dallas-Fort Worth, Austin and San Antonio. El Paso, Corpus Christi, the Rio Grande Valley, Lubbock and Amarillo have smaller pools, while much of West Texas, the Panhandle and East Texas has few listings or none, so people there should plan for a long drive. Check each treatment address, and ask whether the clinic offers an intravenous infusion, an injection, or both, since many offer only one.
Deciding that NAD is appropriate for you is a medical decision, so a physician, physician assistant or nurse practitioner should evaluate you and order it, and a registered nurse or other trained staff member usually places the IV under that order. Ask who examines you before the first visit, who signed the order and who is on site if you react. The regulation summary on this page sets out current Texas requirements from sourced data. Check physicians and physician assistants through the Texas Medical Board lookup, and nurses and nurse practitioners through the Texas Board of Nursing. A check shows license status and public disciplinary actions, but it cannot tell you whether NAD will help or where a clinic sources its product.
Before booking anywhere in the state, ask exactly what is in the bag or syringe, the dose, which pharmacy supplies it, how risks are disclosed in writing and what happens if you notice no benefit. Ask for a quote that itemizes assessment, medication, administration and follow-up. NAD infusions are usually cash pay, compounded NAD is not FDA approved for energy, recovery or healthy-aging uses, and the evidence behind those claims is still limited. The national NAD IV therapy hub covers the mechanism and the research in more depth.
Regenerated.com is free for patients, and being listed is not an endorsement. The organic order of this list is not sold. Featured slots are clearly labeled and capped, and Verified means the clinic passed credential checks, not that it paid. For more on reading this page, see How to read a Regenerated city hub and Featured vs Verified vs organic.
Regulatory context
FDA regulates the compounded ingredients used in IV therapy and the facilities that prepare them. Patient-specific compounded IVs fall under FDCA Section 503A, while bulk preparations for office use fall under Section 503B (outsourcing facilities). USP Chapter 797 governs sterile compounding standards. FDA has issued warnings about injectable glutathione marketed for skin lightening (2017) and has not approved NAD IV for any specific indication. Vitamin and mineral IV mixtures such as the Myers cocktail are compounded preparations and are not FDA-approved drug products.
The Texas medical and nursing boards have addressed unlicensed practice in medical spa and IV lounge settings. Common enforcement themes include IV therapy administered without a valid physician order, stale or missing standing orders, absence of a designated medical director, and unlicensed personnel performing venipuncture. Boards have reiterated that a prescribing physician or APRN must establish a bona fide patient relationship before any IV protocol is initiated, and that standing orders must be specific, dated, and periodically reviewed. The Texas Medical Board has disciplined physicians serving as medical directors for IV lounges without establishing bona fide patient relationships, and Texas strictly enforces the corporate practice of medicine doctrine.
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