Texas Code § 254.052

EXEMPTIONS FROM LICENSING REQUIREMENT
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Sec. 254.052. EXEMPTIONS FROM LICENSING REQUIREMENT. The following facilities are not required to be licensed under this chapter:
(1) an office or clinic owned and operated by a manufacturing facility solely for the purposes of treating its employees and contractors;
(2) temporary emergency clinics in disaster areas;
(3) an office or clinic of a licensed physician, dentist, optometrist, or podiatrist;
(4) a licensed nursing home;
(5) a licensed hospital;
(6) a hospital that is owned and operated by this state;
(7) a facility located within or connected to a hospital described by Subsection (5) or (6);
(8) a facility that is owned or operated by a hospital described by Subsection (5) or (6) and is:
(A) surveyed as a service of the hospital by an organization that has been granted deeming authority as a national accreditation program for hospitals by the Centers for Medicare and Medicaid Services; or
(B) granted provider-based status by the Centers for Medicare and Medicaid Services; or
(9) a licensed ambulatory surgical center.

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