Compliance feels like a minefield
State scope, medical director rules, PLLC vs LLC, MSO structure, corporate practice of medicine. You hear horror stories and freeze.
ClinicianCEO is an operator-led resource for nurse practitioners and RNs building independent wellness clinics. IV therapy, hormone therapy, medical weight loss, aesthetics, telehealth, and more. Built and run by Trevin Tucker, founder of PUUR Health and Wellness in Houston.
Book a Free Strategy Call → Explore clinic types →Nine clinic types. Three delivery models. Built compliantly across all 50 states.
Standalone or shared brick-and-mortar. The PUUR model.
House calls, events, concierge visits. No lease required.
Location-independent and multi-state.
Hydration, vitamin infusions, NAD+, and recovery drips.
How to start one →TRT, bioidentical hormones, and women's hormone optimization.
How to start one →Semaglutide, tirzepatide, and the full GLP-1 service line.
How to start one →Botox, lip filler, and dermal injectables.
Guide coming soonMulti-state, location-independent care delivery.
Guide coming soonHouse calls, events, and concierge IV service.
Guide coming soonDPC, urgent care, and hybrid insurance models.
Guide coming soonAnxiety, depression, and psychiatric medication management.
Guide coming soonPerimenopause, fertility, and sexual wellness care.
Guide coming soonMost clinicians stall in the same three places. Not because they can't do it, but because no one's walked them through it.
State scope, medical director rules, PLLC vs LLC, MSO structure, corporate practice of medicine. You hear horror stories and freeze.
EMR, labs, pharmacy, equipment, software, insurance. Where do you start, and who's selling you something you don't need?
You're trained for patients, not Meta ads or CRMs. So the clinic sits empty.
My background isn't clinical. I'm a healthcare operations guy. Six years consulting with hospitals and specialty groups at firms like Huron, ECG, and Protiviti taught me how to learn fast in complex healthcare environments.
So when my brother Michael and I built PUUR Health and Wellness in Houston, I did what I'd done my whole career. I went out, learned what I didn't know, and built the system. ClinicianCEO is that system, given to clinicians who don't have years to spare.
A real wellness clinic in Houston. IV, weight loss, hormone, and aesthetics. Co-founded with my brother Michael, a former Ben Taub ER nurse who's since earned his nurse practitioner credentials.
Three pillars, built from running PUUR day-to-day: compliance, operations, and growth.
Entity structure guidance, MSO templates, medical director matching, DEA registration support, and state-specific scope navigation.
EMR setup, clinical protocols, intake and consent templates, vendor and pharmacy introductions, and the systems that let the clinic run.
Website built to convert, pricing strategy, service menu structure, and patient acquisition foundations.
Each engagement is one-on-one. The system is built, mentored, and deployed alongside you.
See the full program details →Compliance, operations, and customer-facing setup run in parallel. You're coached through each phase so you launch faster and know how to run what we build.
A 30-minute conversation to clarify your vision, services, state, and timeline. We make sure this is a fit both ways.
Entity formation templates and guidance, MSO templates, medical director or collaborating physician match, EMR. The compliance and clinical backbone, set up right.
Website, protocols, intake systems, vendor stack, pricing strategy. Everything patient-facing, designed to convert.
Doors open. Your clinic is operational, compliant, and ready for patient flow. You know how to run it, and ongoing mentorship is there if you want it.
We spent two years figuring this out so other clinicians wouldn't have to. What used to take us a year of mistakes, we now hand to a clinician on day one.
Long-form guides written from inside a real clinic. Real costs, real compliance, real operations.
Real startup costs, compliance requirements, medical director matching, equipment, pricing, and the 90-day launch path for IV therapy clinics.
Read the guide → GuideTRT and HRT operations, DEA compliance for testosterone, lab requirements, delivery methods, pricing models, and the 90-day launch path.
Read the guide → GuideMedical weight loss operations, compounded GLP-1 pricing, semaglutide and tirzepatide compliance, pharmacy partnerships, and the 90-day launch path.
Read the guide →Straight answers to what NPs and RNs ask most often.
IV therapy, hormone therapy, weight loss (GLP-1), aesthetics injectables, mobile wellness, telehealth, primary care, women's health, and mental health clinics. Each clinic type has its own playbook, and we customize the buildout to match what you're launching.
It depends on your state. Many NPs need a collaborating physician rather than a traditional medical director, and requirements vary state by state. We secure the right relationship through our trusted partner network.
90 days is the typical launch timeline. Telehealth and mobile clinics can move faster. Brick-and-mortar sometimes takes a bit longer due to lease timing. Your entity, EMR, and website are live by the end of our engagement, or we keep working at no additional cost.
About 1 to 1.5 hours per week. The program fits around a full-time clinical job. Your job is to make the key decisions and show up for weekly check-ins. We handle the rest.
We work in all 50 states, including restrictive practice states. For states with collaborative practice requirements, we help secure a collaborating physician through our network. The setup phase is a bit longer, but it's absolutely doable.
Both. You get the entity templates, MSO templates, medical director match, configured EMR, website, and protocols. And we coach you through every decision so you understand how to run what we build.
Book a free 30-minute strategy call. We'll walk through your state, your timeline, and what your launch could look like.
Book a Free Strategy Call →