Tiffany Little-Saunders

Of Counsel





In 2009, Tiffany graduated Magna Cum Laude from the University of Houston with a Bachelor of Science in Psychology and a Minor in Political Science.

In 2012, she earned her JD from Thurgood Marshall School of Law. Following her passion for healthcare law, in 2018 she obtained her Master of Laws degree in Healthcare Law and Policy from the University of Houston, home to one of the nation’s leading health law programs and consistently ranked as a top 10 program by the U.S. News and World Report for over two decades. While completing her LLM degree, she served as a clerk with U.S. Physical Therapy, providing legal research assistance and preparation of a nationwide survey of certain state laws and regulations governing the practice of physical therapy and athletic training, including OSHA, telehealth, and direct access.

She is a seasoned legal professional with over a decade of experience in various aspects of healthcare law, including both the life science and transactional legal sides. Her diverse background includes involvement in conducting clinical trials and assisting medical and business professionals in starting and managing healthcare ventures. She also does copyright and trademark law, specializing in assisting healthcare businesses in safeguarding their intellectual property rights.

Tiffany’s passion lies in advocating for individuals and organizations navigating the intricate legal terrain of healthcare. She is dedicated to keeping her clients abreast of the latest developments, laws, and regulations, empowering them to make informed business decisions and seamlessly adapt to the ever-evolving landscape of healthcare.

Representative Matters

  • Set up MSO arrangements for numerous healthcare ventures, especially with review of fraud and abuse (Stark, self-referral, anti-kickback, and fee-splitting) and corporate practice of medicine issues.
  • Set up legal structure for medical spas and IV hydration therapy startups.
  • Created MSO structure for mid-level healthcare providers and entrepreneurs setting up med spa ventures with MDs.
  • Established MSO structure and MSA agreement for tele-primary care startup.
  • Established MSO structure and MSA agreement for IV hydration therapy startup.
  • Structured MSO arrangement for psychiatric counseling company.
  • Counseled a nurse and entrepreneur-led MSO on multi-state expansion efforts for their botox company.
  • Completed Trademark and Copyright applications for MSO entities to protect their brands.
  • Created informed consents and other legal forms for numerous healthcare ventures.
  • Assisted physician with legal advice to establish his own, branded medical spa and wellness center.
  • Navigated medical spa legal rules and supervision requirements for a physician serving as medical director for a medical spa.
  • Reviewed and negotiated leases for healthcare practice facilities
  • Drafted supervisory agreements, collaborative agreements, and employment and independent contractor agreements for healthcare providers employed by medical practice entities.
  • Advised medical spa physician on compliance obligations relating to physician supervision of mid-levels, good faith exam, bonuses, and other legal issues.
  • Created Employee handbooks and operating agreements for med spa ventures with MDs.
  • Counseled healthcare practice facilities on state employment laws, liability and risk management.
  • Advised telehealth company on state regulations and compliance for telemedicine
  • Reviewed and counseled mid-level and esthetician clients on state scope of practice issues.


  • University of Houston, L.L.M in Healthcare Law and Policy (2018)
  • Thurgood Marshall School of Law, Texas Southern University (2012)
  • University of Houston, Bachelor of Science in Psychology/Minor in Political Science (2009)

Bar Admission(s)

  • Texas (2014)

Practice Areas

  • Corporate practice of medicine concerns
  • MSAs/MSOs
  • Contracts
  • Employment agreements
  • Employee handbooks
  • Independent contractor agreements
  • Business formations
  • Operating agreements
  • Partnership agreements
  • Leases
  • Liability and Risk management
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