NAICS 621111 • Health, Wellness & Care • Texas-Only

Texas Medical Clinics, Med-Spas & Physicians Insurance

Underwriting brief for Texas offices of physicians (except mental health specialists) (20,425 active Texas establishments across 144 counties). We compare 30+ TDI-admitted and specialty commercial carriers for medical clinics & med-spas with fast Certificate of Insurance (COI) turnaround.

2022 US Census County Business Patterns (Texas)

Texas Medical Clinics & Med-Spas Market Footprint

Texas Establishments
20,425
Active employer locations in 144 TX counties
Texas Workforce
210,869
Avg 10.3 employees per location • $20,832.9M annual payroll
Small Firms (<20 Staff)
88.7%
Eligible for BOP & small-commercial package pricing
NAICS / NCCI Anchor
621111
Primary NCCI/ISO underwriting classification
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Texas Regulatory & Rating Matrix

Classification & Compliance Specs

NAICS Code
621111 — Offices of Physicians (except Mental Health Specialists)
NCCI Workers' Comp Codes
8832 (Physician & Clerical)
ISO GL / Coverage Form
66563 (Offices — Medical) + Medical Malpractice
Texas Regulator / Spec
Texas Medical Board (TMB) & Texas Medical Liability Act (Ch. 74)

Texas clinics and med-spas require Medical Malpractice (entity + provider), HIPAA/Cyber Breach coverage, and Premises GL + Property for lasers/imaging gear.

Top Texas Markets (2022 Census CBP)

Where Medical Clinics & Med-Spas Cluster in Texas

  • Harris: 3,716 firms (18.2% of TX) • 39,407 employees
  • Dallas: 2,181 firms (10.7% of TX) • 23,267 employees
  • Tarrant: 1,694 firms (8.3% of TX) • 18,390 employees

Primary Loss Exposures

  • HIPAA/HITECH EHR ransomware locking patient charts and triggering federal OCR investigations.
  • Med-spa laser burns, filler complications, and Supervising Physician vicarious liability.
  • Power-outage spoilage of refrigerated biologics, vaccines, and GLP-1/botox inventory.

Key Endorsements We Verify

  • Entity & Provider Medical Malpractice / Med-Spa Professional Liability
  • Healthcare Cyber Liability with HIPAA Regulatory Defense & Fines
  • Pharmaceutical/Vaccine Spoilage & Medical Equipment Breakdown on the clinic BOP
Texas Underwriting Answers

Medical Clinics & Med-Spas Insurance FAQs

Does a clinic BOP cover medical malpractice or med-spa laser burns?

No—a BOP excludes 'professional healthcare services.' You need Medical Malpractice / Professional Liability alongside your BOP.

Why is Cyber insurance mandatory in practice for Texas medical clinics?

Healthcare is the #1 ransomware target, and HIPAA requires expensive forensic, legal, and patient-notification steps after any EHR breach.

Are refrigerated vaccines and injectables covered if the power goes out?

Yes, when you add Utility Interruption & Spoilage coverage to your clinic BOP.

Does a med-spa need its own entity malpractice policy if the Medical Director has personal coverage?

Yes—personal physician policies rarely cover the LLC entity or aesthetician/RN staff.

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