Medical Board Bulletin Spring 2009
- Medical Board Bulletin Spring 09
(1.5Mb pdf)
The newsletter of the Texas Medical Board
Spring 2009
Volume 6, No. 2
Governor Appoints, Reappoints Board Members
|
Governor
Rick Perry has made the following appointments and reappointments to the
Board: |
David Baucom, of Sulphur Springs, is president of Baucom Insurance
Services Inc., a member of the Independent Insurance Agents of Texas, a
founding director of First American Mortgage Company and a past director of
First American Bank. He is also a past member of the Sulphur Springs City
Council, past mayor of Sulphur Springs and president of the Sulphur River Basin
Authority and he has served in the U.S. Army National Guard. Mr. Baucom
received a bachelor’s degree from
Melinda Fredricks as a public member of the Board.
James “Scott” Holliday, D.O., of
Patrick J. Crocker, D.O., of
John D. Ellis Jr. is a
Wynne M. Snoots, M.D., of
The Governor reappointed Manuel G. Guajardo, M.D., of
With Dr. Kalafut’s departure from the Board, the Governor named Irvin E.
Zeitler Jr., D.O., board president. Dr. Zeitler, who has a family practice in
Dr. Kalafut, who resigned in December of 2008, served on
the board from January, 2002, and became the first woman president of the board
in 2005. Ms. Fredricks, a public member from
Board
Names Robinson Executive Director, Moore
The Texas Medical Board named Mari Robinson,
J.D., agency Executive Director effective March 1. Ms. Robinson had been
serving as Interim Executive Director since September.
The board also named Alan T. Moore, M.D., as
Medical Director of the agency, also effective March 1. Dr. Moore had been
serving as Interim Medical Director since October. State law requires that, if
the agency executive is a non-physician, a medical director be hired.
Ms. Robinson took over the executive director
position after the retirement of Donald W. Patrick, M.D., J.D., who served TMB
as executive director from September 2001 through August 2008. Ms. Robinson
began her career at TMB as a litigation attorney in 2001 and has served as
Director of Enforcement since 2006. She received her B.A. in government (cum
laude) from
Dr. Moore graduated with honors from U.T.
Austin and received his medical degree from the University of Texas
Southwestern Medical School and completed his anatomic and clinical pathology
residency at
“Since TMB’s executive director has
traditionally been a physician, this dual role is new for
Sue Chang and Linda Drain
Appointed to Acupuncture Board
Gov. Rick Perry has appointed
Suehing “Sue” Chiang of Sugar Land and Linda Wynn Drain of Lucas to the Texas
State Board of Acupuncture Examiners for terms to expire January 31, 2015.
Ms. Chiang is a retired elementary school
teacher and current substitute teacher for the
Ms. Drain is a partner at Nolte, Drain and Rosenthal PLLC. She is
a member of the Collin County Bar Association, Collin County Criminal Defense
Lawyers Association, and Texas Bar Foundation. She is also a founding member of
the Collin County Bench/Bar Association and the CITY House Board of Directors.
Ms. Drain received a bachelor’s degree from Texas Southern University and a law
degree from South Texas College of Law. She replaces Pedro “Pete” Garcia of
Frisco.
Guidelines
for prescribing pain meds, scheduled drugs
In several
The
National Association of Drug Diversion Investigators identifies 57 prescription
drugs that are commonly diverted. Some of the most frequently diverted/abused
pharmaceutical drugs sought by drug-seekers include Vicodin, Vicodin ES,
Lortab, Lorcet, Lorcet Plus, Norco, Tylenol #3, Tylenol #4, Diazepam, Xanax,
Stadol (NS), Valium, Phenergan with Codeine, Tussionex, OxyContin, Ultram,
Ultracet, and Soma.
In
Prescription
drug diversion falls into two categories:
The diverting
of legally obtainable drugs into illegal channels.
The acquiring
or obtaining of a controlled substance by an illegal method.
Methods of
diversion include doctor shopping, stealing prescription pads, prescription
fraud and unlawful possession.
Methods of
forgery include altering a legitimate prescription; altering the number of
refills on a prescription; stealing a blank prescription and forging from
scratch; even stealing whole prescription pads. A blank prescription is like
blank check to a drug seeker.
Because
these are legal drugs manufactured and provided for legitimate purposes, it may
sometimes be difficult to recognize and prevent their potential for misuse.
The
Federation of State Medical Boards provides guidelines for physicians on
evaluating the use of controlled substances for pain control. They include the
following:
Evaluating a patient for drug treatment;
Writing the treatment plan;
Obtaining informed consent and agreement for treatment;
Reviewing the course of treatment periodically;
Consulting with other health care professionals;
Keeping accurate medical records; and
Complying with controlled substances laws and
regulations.
The
Texas Medical Board’s rules, Chapter 169, Authority of Physicians to Supply
Drugs, and Chapter 170, Pain Management, provide guidance and direction for
physicians in prescribing dangerous drugs and controlled substances. The
complete rules may be found at http://www.tmb.state.tx.us/rules/rules/bdrules.php
Chapter
169 spells out ways physicians may dispense dangerous drugs for “immediate
need.” It also spells out proper dispensing of pharmaceutical samples. The
chapter concludes with this policy:
§169.8. Policy.
It is the
policy of the board to encourage physicians to issue prescriptions for drugs
and remedies, unless supplying the drug is necessary to meet the patient’s
immediate medical needs and the drug is reasonably unavailable from licensed
pharmacies in the existing circumstances, or unless the physician determines
that the patient’s prescribed treatment regimen requires that pharmaceutical
samples should be supplied to the patient.
Chapter 170 states:
(3) The board is charged by the Legislature
with the responsibility to assure that drugs are used in a therapeutic manner.
A license to practice medicine gives a physician legal authority to prescribe
drugs for pain. The physician has a duty to use that authority to help, and not
to harm patients and the public.
(4) Harm can result when a physician does not
use sound clinical judgment in using drug therapy. If the physician fails to
apply sufficient drug therapy, the patient will likely suffer continued pain
and may demonstrate relief-seeking behavior, known as pseudoaddiction. On the
other hand, non-therapeutic drug therapy may lead to or contribute to abuse,
addiction, and/or diversion of drugs. Physicians must be well informed of and
carefully assess the risks and the benefits as they apply to each case.
Chapter
170 provides these definitions:
Addiction: a primary, chronic, neurobiological
disease characterized by craving and compulsive use of drugs. Addiction is often
characterized by impaired control over drug use, including taking more drugs
more often than prescribed by a physician. It may also be characterized by
continued use despite harm to oneself or others.
Pseudo-addiction: the iatrogenic syndrome
resulting from the misinterpretation of relief seeking behaviors as though they
are drug-seeking behaviors that are commonly seen with addiction. The relief
seeking behaviors resolve upon institution of effective analgesic therapy.
Tolerance: a physiological state resulting from
regular use of a drug in which an increased dosage is needed to produce a
specific effect, or a reduced effect is observed with a constant dose over
time. Tolerance does not necessarily occur during opioid treatment and does
not, alone, indicate addiction.
Physical dependence: A state of adaptation that
is manifested by drug class-specific signs and
symptoms that can be produced by abrupt cessation, rapid dose reduction,
decreasing blood level of the drug, and/or administration of an antagonist.
Physical dependence, alone, does not indicate addiction.
In this as
in all other aspects of medical practice that TMB regulates, it is essential
that physicians follow proper procedures for creating and maintaining medical
records, including documentation of evaluation, diagnosis, treatment plan,
anticipated results and possible side effects. The rule also recommends an
agreement for treatment of chronic pain.
See Page 13 for additional
information about prescribing, including information for mid-level
practitioners who have prescribing authority.
Chronic Kidney
Disease Affects Millions of People
Chronic
kidney disease, known as CKD, is a serious health condition that affects an
estimated 26 million people in the
Early
detection and management of CKD can delay the disease’s progress and reduce
adverse outcomes, but CKD remains under-diagnosed and under-treated. Untreated,
CKD can progress to kidney failure but more often results in premature death
due to cardiovascular disease, according to officials at the Texas Department
of State Health Services.
The knowledge
and evidence-based clinical practice guidelines to prevent, delay, manage and
treat CKD are available but often are not consistently applied throughout
physician practices and health care systems. Studies designed to assess
variability in guideline adherence consistently identify two major barriers:
lack of awareness or familiarity with the disease and difficulty translating
complex guidelines into daily practice.
CKD is
defined as a glomerular filtration rate (GFR) <60 ml/min/1.73 m2
for > 3 months, with or without kidney
damage, or structural damage for > 3
months with or without low GFR.
Publication
in 2002 of the National Kidney Foundation
Kidney Disease Outcomes Quality Initiative Clinical Practice Guidelines
focused increased attention on the growing CKD problem. The NKF; National
Kidney Disease Education Program, an initiative of the National Institutes of
Health; the U.S. Centers for Disease Control and Prevention and several states
are working to increase awareness and use of the K/DOQI guidelines among
clinicians.
The
guidelines provide evidence-based strategies to treat and manage CKD at each of
its five stages as classified by level of estimated GFR.
CKD by Stage and Recommended Action
|
Stage |
Description |
GFR |
Action |
|
|
Normal kidney function |
>60 |
Prevent chronic diseases Screen for CKD risk
factors |
|
|
Increased risk |
>60 (with CKD risk factors) |
Treat/manage CKD risk
factors Screen for CKD |
|
1 |
Kidney damage with normal or
increased GFR |
>90 |
Diagnose/treat to slow
progression Screen for CVD Educate patient on
disease management Prevent/manage comorbid
conditions |
|
2 |
Kidney damage with mild
decrease in GFR |
60-89 |
Estimate progression Treat comorbid conditions |
|
3 |
Moderate decrease in GFR |
30-59 |
Evaluate/treat
complications Refer to nephrologist |
|
4 |
Severe decrease in GFR |
15-29 |
Educate patient on kidney
replacement options Prepare for renal
replacement therapy |
|
5 |
Kidney failure |
<15 |
Kidney replacement by
dialysis or transplant |
The
guidelines also offer the following recommended minimum standards of patient
care:
Determine
patient risk:
Diabetes
Hypertension
Cardiovascular disease (CVD)
Family history
Age 60 and above
Screen
at-risk patients:
Spot urine albumin to creatinine ratio to detect
albuminuria
Serum creatinine to estimate GFR – use prediction equation
which factors in serum creatinine, age, gender, weight, race
Look
for CKD markers:
Albuminuria – >30mg of urinary albumin per gram of
urinary creatinine
GFR – <60 ml/min/1.73 m2
Structural damage (discerned from imaging)
Diagnose:
Evaluate for markers of kidney damage and for level of
kidney function per GFR
Determine underlying cause, comorbid conditions, disease
severity, complications, stage
Develop clinical action plan to slow progression
Treat/Manage:
Prescribe ACE inhibitor and/or angiotensin receptor blocker
to protect kidney function (monitor creatinine and phosphorous levels)
Maintain blood pressure control: <130/80 mmHg
Maintain strict glycemic control: A1c <7% for patients
with diabetes
Manage CVD risk factors
Refer for medical nutrition therapy
Encourage patient self-management
Assess progression, adjust medications to current GFR
Manage/treat comorbidities (CVD, diabetes, hypertension)
Manage/treat complications (hypertension, anemia,
dyslipidemia, mineral and bone disease)
Manage
with nephrology:
Consult at stage 1 if hematuria or significant proteinuria
present
Consult at stage 2 if GFR declines >4mL/min/year
Refer at stage 3 or if GFR <30ml/min/1.73 m2
Prepare for renal replacement therapy (RRT) in stage 4
Educate patient on RRT options
Prepare arteriovenous (AV) fistula at least 6 weeks to
several months prior to hemodialysis
Provide ongoing primary care
For more
information about the Kidney Disease Outcomes Quality Initiative Clinical
Practice Guidelines go to www.kidney.org/professionals/KDOQI/.
Rule Changes
The board adopted the following rule changes that were
published in the Texas Register (board rules are available at http://www.tmb.state.tx.us/rules/rules/bdrules.php:
Chapter 162. Supervision of
Chapter 163, Licensure:
amendments to §163.5,
Licensure Documentation.
Chapter 165, Medical Records: amendments to §165.1, Medical Records; §165.5, Transfer and
Disposal of Medical Records.
Chapter 166, Physician Registration: amendments
to§166.2, Continuing Medical Education; and §166.6, Exemption from Registration
Fee for Retired Physician Providing Voluntary Charity Care.
Chapter 169, Authority of
Physicians to Supply Drugs: amendments to §169.7, Record Keeping.
Chapter 171. Postgraduate Training Permits:
repeal of §171.7,
Inactive Status.
Chapter
172, Temporary and Limited Licenses: amendments to §172.4, State Health Agency
Temporary License, regarding duration of license.
Chapter 173, Physician Profiles: amendments
to§173.1, Profile Contents.
Chapter 175, Fees, Penalties and Forms: amendments to §175.1, Application
Fees; §175.3, Penalties.
Chapter 178 Complaints: Rule
Review with amendments to §178.1,
Purpose and Scope.
Chapter 179, Investigations,
Rule Review with amendments to §179.1, Purpose and Scope; §179.4, Request for Information and Records
from Physician; §179.6, Time Limits.
Chapter 180, Rule Review with
amendments to §180.1,
Rehabilitation Orders.
Chapter 182, Use of Experts,
Rule Review with amendments to §182.1, Purpose; §18.5, Expert Panel; §18.8, Expert Physician
Reviewers.
Chapter 183, Acupuncture: rule review with
amendments to §183.2, Definitions; §183.4, Licensure; §183.10, Patient Records;
§183.20, Continuing Acupuncture Education.
Chapter 185, Physician Assistants: amendments to
§185.2, Definitions, revises the definition of a supervising physician to
define and “unrestricted medical license.”
Chapter 187, Procedural Rules: §187.3,
Computation of Time; §187.4, Agreement to be in Writing, §187.13, Informal
Board Proceedings Relating to Licensure Eligibility; §187.14, Informal
Resolution of Disciplinary Issues Against a Licensee; §187.18, Informal Show
Compliance Proceeding and Settlement Conference Based on Personal Appearances;
§187.24, Pleadings; §187.29, Mediated Settlement Conferences; §187.59,
Evidence; §187.70, Purposes and Construction; §187.71, Hearing Before Panel of
Board Representatives; §187.72, Decision of the Panel; §187.73, Termination of
Suspension.
Chapter 189, Compliance Program: rule review and
amendments to §189.1, Purpose and Scope; §189.2, Definitions; §189.4,
Limitations on Physician Probationer’s Practice.
Chapter 190, Disciplinary
Guidelines, Rule Review with amendments to §190.1, §190.14, Disciplinary Sanction
Guidelines. Proposed §190.8, Violation Guidelines, was withheld for
clarification and will be republished.
Chapter 192, Office Based
Anesthesia, Rule Review with amendments to §192.2, Provision of Anesthesia Services in
Outpatient Settings.
Information for
Physician Assistants with Prescriptive Authority
Effective September 1, 2008, state law requires
that all prescriptions for controlled substances include the prescriber’s
controlled substance registration number issued by the Texas Department of
Public Safety in addition to the United States Drug Enforcement Administration
number. Physician assistants with prescriptive authority must put both DPS and
DEA numbers on all prescriptions for controlled substances in Schedules III
through V. Additional information is available on the DPS web site: http://www.txdps.state.tx.us/criminal_law_enforcement/narcotics/LegislativeUpdates.pdf
Physician assistants must have the name of
their current delegating physician authorizing prescriptive authority on file
with DPS. If a physician assistant does not notify the DPS of a new physician
within 60 days of a supervision/delegation termination, the physician
assistant’s DPS number will be terminated.
If you need to
change or add delegating physicians on file with the DPS, this can be done
on a modification form from the DPS website at: http://www.txdps.state.tx.us/forms/index.htm#narcoticsThis form cannot be used renew your
DPS registration.
Updating your supervising physician with the TMB can be done on a form
available on the TMB website at: http://www.tmb.state.tx.us/professionals/physicianassist/licensed/pasupreg.php
The
following information from the Texas Administrative code, Title 37, Part 1,
Chapter 13, Subchapter F, Rule §13.132 is available at: http://info.sos.state.tx.us/pls/pub/readtac$ext.viewtac
(g) Mid-level practitioners.
(1) each mid-level practitioner must have a
supervisory physician delegating prescriptive authority as required by the Act,
§481.002(39)(D). Each physician must certify the authorizing delegation on the
mid-level practitioner’s application and include the physician’s:
(A) name;
(B) Texas Medical Board license number;
(C) DPS registration number;
(D) signature; and
(E) date of signature.
(2) Effect of signature. A physician who signs
a mid-level practitioner’s application as the supervising physician assumes
responsibility for ensuring that the mid-level practitioner practices under the
laws of this state related to controlled substances prescribing activities. A
physician who fails to properly monitor the mid-level practitioner’s activities
is subject to disciplinary action.
(3) Registration and License Status. A
supervising physician must have an unrestricted and active DPS registration and
Texas Medical Board license number.
(4) Change of Delegating Physician.
(A) A change of delegating physician must be
submitted in writing as required in §13.208 of this title (relating to
Requirements to Update Information).
(B) A delegating physician shall notify the
director in writing to terminate delegation with a mid-level practitioner.
(5) Limitations. The physician is limited to
the extent and number of mid-level practitioners that the physician delegated
as outlined in Chapter 157, Occupations Code.
The following information from the Texas
Administrative code, Title 37, Part 1, Chapter 13, Subchapter F, Rule §13.30 is
available at: http://info.sos.state.tx.us/pls/pub/readtac$ext.viewtac
(e) Mid-level practitioner. Upon dissolution
of a professional relationship between a mid-level practitioner and the
delegating physician, the mid-level practitioner has no authority to
distribute, prescribe, possess, or dispense a controlled substance. If the
mid-level practitioner does not have a new delegating physician certifying
delegation within 60 days after the dissolution of such relationship, the
director may terminate the registration of the mid-level practitioner.
Prescription Information
Effective
September 1, 2008, all prescriptions for Schedule II-V controlled substances
must contain the information below (provided by the DPS) to be considered valid
and, subsequently, filled:
quantity of the substance prescribed (written
as both a number and as a word);
date of issue (cannot be postdated);
name, address, and date of birth or age of
patient;
name and strength of the controlled substance
prescribed;
directions for the use of the controlled
substance;
intended use of the substance prescribed unless
the practitioner determines the furnishing of this information is not in the
best interest of the patient;
printed or stamped name, address, DEA
registration number, and telephone number of the practitioner’s usual place of
business;
the signature of the prescribing practitioner,
unless the prescription is called in to the pharmacy
the practitioner’s current and valid DPS
registration number for practitioners licensed in
Formal Complaints
Formal Complaints have been filed with the State Office of
Administrative Hearings regarding the licensees listed below. Formal Complaints
are public documents and are posted on physician profiles on the TMB web site.
The Texas Occupations Code, Medical Practice Act, defines a
Formal Complaint as follows: Sec. 164.005. INITIATION OF CHARGES; FORMAL
COMPLAINT.
… “formal complaint” means a written statement made by a
credible person under oath that is filed and presented by a board
representative charging a person with having committed an act that, if proven,
could affect the legal rights or privileges of a license holder or other person
under the board’s jurisdiction….
“…A formal complaint must allege with reasonable certainty
each specific act relied on by the board to constitute a violation of a
specific statute or rule.”
These cases were unresolved at the time of publication.
Name License No. Date filed Allegations
Bashar
Alaswad, M.D............... K0597.... 12/19/08.... Failure to practice consistent with public health and
welfare; nontherapeutic prescribing.
Joel
Alvear, M.D....................... L1514...... 1/9/09...... Unprofessional conduct by engaging in sexual conduct
with a patient and sexually inappropriate behavior and behaving in an abusive
manner toward a patient.
Isam
N. Anabtawi, M.D............ D5588..... 3/11/09..... Violations of board rules related to medical records and
pain medication guidelines; unprofessional conduct; nontherapeutic prescribing.
Robert
M. Battle, M.D.............. D2355..... 1/28/09..... Failure to meet the standard of care; violation of Board
Rule 200 regarding Complementary and Alternative Medicine; providing medically
unnecessary services
Stuart
A. Bergman Jr., M.D....... D5914.... 11/17/08.... Failure to practice consistent with public health and
welfare; unprofessional conduct; nontherapeutic prescribing; failure to meet
the standard of care; inability to practice due to intemperate use of alcohol
or drugs.
Michael
H. Bertino, M.D........... D4928..... 3/17/09..... Inadequate medical records; nontherapeutic prescribing;
improper billing; failure to meet the standard of care in treatment of multiple
patients.
Sebastian
A.
Bourgeois,
M.D................... BP1-0010667 10/31/08... Unprofessional conduct; disciplinary action by
peers.
C.C.
Chase, M.D..................... K5080.... 10/29/08.... Unprofessional conduct; improper billing.
Phillip
D. Cochran, M.D............ L0092..... 4/24/09..... Unprofessional
conduct; improperly providing medication samples; violating patient
confidentiality; inadequate medical records; providing false information to the
board; engaging in a sexual relationship with a patient; nontherapeutic
prescribing.
Brent
J. Coleman, D.O.............. G3241...... 4/1/09...... Failure to comply with a board order; inability to
practice because of excessive use of drugs, narcotics or other substances;
unprofessional conduct.
Daniel
A. Crain, D.O................. J4063..... 3/17/09..... Violation of Board rule requiring physician to be
responsible for medical records after leaving practice and to release medical
records upon proper request; unprofessional conduct.
Rodney
N. Dotson, M.D........... D9988..... 11/3/08..... Failure to practice consistent with public health and
welfare; failure to meet the standard of care; unprofessional conduct;
nontherapeutic prescribing; violation of a previous order; inadequate medical
records.
Denise
R.
Walid
H. Hamoudi, M.D........... K7027....... 3/6/9....... Failure to practice consistent with public health and
welfare; unprofessional conduct; nontherapeutic prescribing; inadequate medical
records.
James
M. Henderson, M.D........ E4398..... 4/20/09..... Unprofessional conduct; failure to adequately supervise;
failure to maintain adequate medical records.
Rodolfo
M. Lozano, M.D.......... L1927..... 4/17/09..... Unprofessional conduct, failure to meet the standard of
care; negligence; failure to disclose alternative treatments; nontherapeutic
prescribing; failure to maintain adequate medical records.
Brian
D. Rappe, D.O................. J4981.... 12/19/08.... Unprofessional conduct; failure to release medical
records and notify patients of closing his practice; failure to cooperate with
board staff.
Rudulfo
L. Rivera, M.D............. E6894..... 2/13/09..... Failure to practice consistent with public health and
welfare; failure to properly delegate drug management; failure to meet the
standard of care; nontherapeutic prescribing; aiding and abetting the
unlicensed practice of medicine; improper delegation.
James
C. Rorig, M.D................. L9586.... 12/30/08.... Failure to practice consistent with public health and
welfare; negligence in performing medical services; inadequate medical records.
Gustav
R. Schmiege Jr., M.D..... F5036..... 4/20/09..... Failure to maintain adequate medical records.
Ricky
Allen Siewert, D.O.......... G2576...... 1/9/09...... Failure to practice consistent with public health and
welfare; unprofessional conduct; nontherapeutic prescribing; failure to comply
with drug guidelines.
Lorenzo
Spratt, M.D................. F9031.... 11/15/09.... Inability to practice with reasonable skill and safety
due to excessive use of alcohol or drugs; violation of probation;
unprofessional conduct.
John
A. Standefer, M.D............. F2038..... 2/21/09..... Failure to practice consistent with public health and
welfare; failure to meet the standard of care; false advertising; inadequate
medical records.
Jorge
E. Tijmes, M.D................ E3784..... 11/7/08..... Failure to practice consistent with public health and
welfare; unprofessional conduct; nontherapeutic treatment.
John
P. Walker, M.D................ G0254..... 4/20/09..... Unprofessional conduct; failure to meet the standard of
care; aiding and abetting the unlicensed practice of medicine; failure to
properly supervise.
Robert
G. Wilkerson Jr., M.D... D4359..... 1/24/09..... Violation of board rules regarding treatment of pain and
maintenance of medical records; improper delegation; failure to meet the
standard of care; nontherapeutic prescribing; unprofessional conduct.
James
C. Womack, M.D........... C7834.... 10/28/08.... Failure to practice consistent with public health and
welfare; failure to meet the standard of care; unprofessional conduct;
violation of the law related to the practice of medicine, inadequate medical
records; nontherapeutic prescribing; inadequate medical records.
James
R. Young, M.D............... K4616.... 10/29/08.... Unprofessional conduct (disruptive behavior adversely
impacting patient care); disciplinary action by peers.
Jorge
C. Zamora-Quezada, M.D. J0739.... 10/28/08.... Failure to practice consistent with
public health and welfare; failure to meet the standard of care; unprofessional
conduct; providing medically unnecessary services; excessive and improper
billing; nontherapeutic prescribing; inadequate medical records.
New Physician Licenses Issued, December 2008-April 2009
The Texas Medical Board
issued or reissued licenses to 1,467 physicians between December 12, 2008, and
April 3, 2009. The board congratulates the following new
Aashish,
Anunaya, MD * Abad, John Daniel, MD * Abair, Christine Hansum, MD * Abalihi,
Carol Ngozi, MD * Abdalrahman, Ihab Babiker, MD * Abdulla, Cedela, MD * Abdulla,
Zainab, MD * Abele, Travis Austin, MD * Abraham, Kianne, MD * Abraham, Reeni
Ann, MD * Abraham, Selwin John, MD * Acevedo Espinoza, Sonia Maria, MD *
Aderholdt, Karen Gale, MD * Adetona, Olutola Olugbenga, MD * Adeyinka, Adebayo,
MD * Adhvaryu, Amita, MD * Aftab, Lalarukh Khan, MD * Agadi, Satish, MD * Agbo,
Osmund Ugochukwu, MD * Agersborg, Sally Suzanne, MD * Agim, Onyinye Amara, MD *
Aguayo Orozco, Alberto, MD * Aguirre, Vincent, MD * Ahluwalia, Manmeet Singh,
MD * Ahmad, Nabil, MD * Ahmad, Waqar, MD * Ahmed, Ibrahim Abdel Kader Sayed, MD
* Ahmed, Shahnaz, MD * Ahmed, Moiz, MD * Aitelli, Cristi Lynn, DO * Aizpuru,
Richard Neal, MD * Akahara, Obidike Richard, MD * Akinlawon, Akintayo
Oluwatosin, MD * Albitar, Mohammad Fares, MD * Ales, Noel Cristin, DO * Aleti,
Venkata Saikrishna, MD * Alexander, Ronda Ebony, MD * Alhazim, Dina, MD * Ali,
Rafeeq Adnan, MD * Ali, Kamran Babar, MD * Alizadeh Naderi, Amir Said, MD *
Alleman, David George, MD * Allen, Jason Wells, MD * Allen, Robert Arthur, MD *
Allen, Andrew Winchester, DO * Almidani, Mazen Alkahwaji, MD *
Almonte-Gonzalez, Jennifer Melissa, MD * Almounajjed, Azzam, MD * Alonso, Guy
Todd, MD * Alprin, Clifford Neil, MD * Alvares, Michael Louis, MD * Alvarez,
Aixa Lymarie, MD * Amajoh, Nwanyieze Ivana, MD * Amer, Aaliya Islam, MD * Amos,
Lindsey Dickerson, MD * An, Young C., MD * Anand, Vishal Sunil, MD * Anand,
Suwarna, MD * Anandam, Joselin Leelavathy, MD * Anderson, Glenn Brian, MD *
Anderson, Christopher Todd, MD * Andrews, Gordon Ted, MD * Anekwe, Emmanuel
Chukwuemeka, MD * Ang-Ermocilla, Beatriz Lao, MD * Angulo Pernett, Freddy, MD *
Antonelli, Elena, MD * Anunobi, Endaline Amaka, MD * Arabolu, Sashi Venkat, MD
* Araj, Faris, MD * Aranda Jaimes, Jorge Fernando, MD * Arazi, Teofilo Juan
Carlos, MD * Arenivas, Lova Tiana, MD * Arizpe, Nicholas, MD * Arnold, Jennifer
Lynn, MD * Arora, Rohit, MD * Arora, Rashmi, MD * Arsenault, Todd Michael, MD *
Artime, Carlos Alejandro, MD * Arya, Monisha, MD * Asfour, Abedelrahim, MD *
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Haris, MD * Atieh, Samir Rafiq, MD * Atkinson, Brandon Scott, DO * Attia, Engi
Farouk, MD * Augustin-Wheeler, Rosie, MD * Aung, Myo, MD * Austin, Shannon, MD
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Gregory Nelson, MD * Bansal, Vivek, MD * Bansal, Shweta, MD * Bao, Shiping, MD
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Baskin, Joel Reed, MD * Batra, Sukhpreet S., MD * Batts, Travis Carlos, MD *
Baum, Laura Marie, MD * Beadle, Beth Michelle, MD * Bean, Gregg William, MD *
Beatty, William Coombs, MD * Bechtold, Olga V, MD * Beckwith, Stephen Reed, MD
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Harold, MD * Beizai, Pouneh, MD * Bell, Atiba Eugene, MD * Bell Matesoi, Diana,
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Bessler, Robert Aaron, MD * Bhojani, Rehal Abbas, MD * Bhora, Milapchand
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Ray Michael, MD * Bokhari, Malak, MD * Boland, Pamela Gray, MD * Bolar, Sudhir
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Jeffrey Soon, DO * Bosquez, Elizabeth Lee, MD * Boudjenah, Djillali, MD *
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Aaron Reed, MD * Browne, Catherine P., DO * Bruner, Terrence Weston, MD *
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Elizabeth, MD * Burton, Russell Keith, MD * Butt, Salman Saeed, MD * Buzenas,
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Campbell, Christopher Alan, MD * Campbell, Lynn Renee, MD * Camrud, Marissa
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Cabrera, MD * Capps, Erin F, MD * Carling, Nicholas Patrick, MD * Carlson,
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Cartaya, Ezequiel Bernard, MD * Carter, Brett Wilson, MD * Carter, Jason
Daniel, MD * Casanova, Edward, MD * Castellanos, Mario Eduardo, MD * Castillo,
Brian, MD * Castro, Mary Jane Sunga, MD * Caughron, Justin Derek, MD *
Chaiyarat, Walailuk, MD * Chamarthi, Malathi, MD * Chan, Joanna, MD * Chander,
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MD * Chen, Jeffrey, MD * Cheng, Sam Siu Lun, MD * Chennareddygari, Swapna, MD *
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Chiou, Peter Y, MD * Cho, Derrick Hyoung-Jin, MD * Choi, Lorraine, MD * Chong,
Edward Ming-Tai, MD * Chou, Michael Li-Chien, MD * Choudhry, Vineet, MD *
Choudry, Rabia Bano, MD * Chukwu, Ikedieze Igwe, MD * Chumley, Christopher Ray,
MD * Chung, Andy Tuan Anh, MD * Chung, Hui-Yong, MD * Chung, Stephanie Therese,
MD * Ciurea, Stefan Octavian, MD * Clark, Perrin Christopher, MD * Clark,
Clarence Edward, MD * Cler, Leslie Ryan, MD * Cockrill, Tonya Christine, MD *
Coff, Philip Matthew, MD * Cohen, Karen H, MD * Cohen, Steven Mark, MD *
Coimbra, Maria De Lourdes Moutta Calado, MD * Coleman-Laster, Nichelle Diane,
MD * Collier, Trenton Randall, MD * Colmenter, Heather, MD * Colombo, Stacy
Marie, MD * Colque, Molly Joy, MD * Colvin, Julie Xindaris, MD * Cook, Patrick
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Cordero, Luis, MD * Cordes, Brett McCormack, MD * Cornett, Joseph Edward, MD *
Cotton, Bryan Alan, MD * Craenen, Geert, MD * Craig, Jason Allen, MD *
Craigmiles, Laura Ann, DO * Crandall, Eric Bringhurst, MD * Creekmore, Tina
Lynn, MD * Creel, Bradley, MD * Crisp-Han, Holly Diane, MD * Crouch, John, MD *
Crownover, Richard Lynn, MD * Cruser, Daniel Lawrence, MD * Crutchley, Teresa
Ann, MD * Crystal, Matthew Allan, MD * Cubillas Manrique, Raul Eduardo, MD *
Cuellar, Ada, MD * Cumbie, Todd Allen, MD * Curlee, Chad Aaron, DO * Cuzick,
Leslie Medley, MD * Daftary, Rajesh Kirit, MD * Dagostino, Janet Lynn, DO *
D’agostino, Sabino Joseph, DO * Damodaran, Anandhakrishnan, MD * Dang, David
Nghia Chinh, MD * Daniels, Sarah Rachelle, MD * Danner, Carrie Adele, MD *
Danzig, Carl Joshua, MD * Darhower, Adrienne Monique, MD * Darrigan, David, DO
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Reis, MD * Davalos, Mauricio, MD * Davenport, Owen Rogers, MD * Davie, James
Robert, MD * Davis, Cynthia Nicole, MD * Davis, Brandon Ladd, MD * Davis,
Jeffrey Michael, MD * Davis, Alvin Vernon, MD * Davis, Kenneth McKay, MD *
Davis, Randy John, DO * De Llanos, Ariel, MD * De Oliveira, Luciana Fonseca, MD
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Defilippis, Nicholas James, MD * Deister, Diana Dawn, MD * Del Prete, Jennifer
Cozart, MD * Deliz Velez, Rafael J, MD * Desai, Devak Girish, MD * Deshazer,
Mitchell, MD * Deshazo, Shannon Leah, MD * Devakonda, Arun Kumar, MD * Diaz,
Lisa Flores, MD * Diaz De Vivar Daumas Ladouce, Andrea, MD * Dildy, Annola
Kilai, MD * Dill, Leah Ann, DO * Dirnberger, Daniel Robert, MD * Ditelberg,
Jeremy Stuart, MD * Dollins, Kathleen Boyd, MD * Dominy, Donald Dean, MD *
Donahey, Brett Alan, DO * Donty, Venkateshbabu, MD * Doppalapudi, Hima Sudha,
MD * Dorsey, Eugene Richard, MD * Doshi, Gurjyot Kaur, MD * Drake, David
Gordon, MD * Drawert, Casey Mitchell, MD * Dredar, Serag, MD * Drever, Nathan
Scott, MD * Drewry, Danney Paul, DO * Drye, Stephen Tyler, MD * Dubagunta,
Prasuna Gnana, MD * Dube, Daniel Sijipunda Chipembere, MD * Duckworth, Edward
Angus McKay, MD * Duclair, Cesar Pierre, MD * Dunlap, Steven Keith, MD *
Dymott, Jean Ann, MD * Earwood, Thomas Lee, MD * Eckert, Scott Felton, MD *
Edwards, Kathryn Gail, MD * Ehsan, Azar Behazin, MD * El Bejjani, Dalia, MD *
Elati, Vijayshekar Reddy, MD * El-Awady, Mohammed Fawzi, MD * Ellis, Ira Keith,
MD * Ellison, Dayna Leigh, MD * Ellison, Nicole Michele, MD * Ellsworth, Misti
Guarnere, DO * El-Saghbini, Fady Elias, MD * Elsayed, Mohamed Hany, MD *
Emerson, Susan Cameron, MD * Emmons, Marisa Elaine, MD * Ende, Kevin Howard, MD
* Epelman, Slava, MD * Ercole, Barbara, MD * Ervin, Amber Monique, DO * Esham,
Dana Lynn, MD * Essa, Joanne Laila, MD * Etienne, Abdias Demetree, MD * Ewert,
Anne Catherine, MD * Ewesuedo, Reginald, MD * Faber, John Andrew, MD * Fahed,
Samir, MD * Fahmy, Hanan, MD * Falcon, Leigh Ann, MD * Fambro, James Edward, MD
* Fang, Yisheng Vincent, MD * Farmer, Brandon Wayne, MD * Farrell, Ainsworth
Bartholomew, MD * Fay, James Michael, MD * Fazel, Poorya, MD * Feghali, Georges
Antoine, MD * Fehsenfeld, Drew Mathew, MD * Fekete, Robert, MD * Fenyves, Paul
Jason, MD * Fernandez, Michel, MD * Fernandez, Emily Suzanne, MD * Fernando,
Victoria De Guzman, MD * Feroze, Amna Hamid, MD * Finch, Lisa, MD * Fisher,
Julian Hart, MD * Fitzgerald, John Patrick, MD * Fletcher, Nicholas David, MD *
Flores, Randy Noel, DO * Flores, Maria Alejandra, MD * Florez, Luisa, MD *
Forrester, Lisa Dandridge, MD * Foshee, Jeri Beth, MD * Foteh, Mazin Issa, MD *
Fox, Kermit William, MD * Fox, James Gary, MD * Foy, Christian Anthony, MD *
Fraga, Linda Ann, MD * Frankel, Robert, MD * Frankfather, Jay Scott, MD *
Frankfort, Benjamin Jay, MD * Franklin, Kevin James, MD * Freeman, Georgeanne,
DO * Freeman, Stephanie Anastasia, MD * Freeman, Asha Marie, MD * Freiman,
Jorge Pablo, MD * Friedman, Jonathan Ross, MD * Frost, Tara Shipman, MD *
Fuller, Julie Marie, MD * Furniss, Wilburn Edward, MD * Gadhia, Monika
Mohanbhai, MD * Gage, Earl Anthony, MD * Galfione, Matthew Richard, MD *
Gallegos Garcia, Fernando Salvador, MD * Gallo, Ralph Charles, MD * Galvan, George
Marcus, MD * Gamarra De Williams, Juana Leonor, MD * Gandhi, Darshan Gautam, MD
* Gandhi, Manisha, MD * Gandhi, Anand, MD * Gangasani, Ashish, MD * Gao, Min,
MD * Garay, Virginia, MD * Garcia, Adriane Ramirez, MD * Garcia, Julian Albert,
MD * Garcia, Amy Danielle, MD * Garcia, Hernando, MD * Garcia Mitchell, Cecilia
Alejandra, MD * Garg, Sumeet, MD * Garg, Amit Kumar, MD * Gargollo, Patricio
Cuevas, MD * Garza, Magdalene Diana, MD * Gates, Keith Saxton, MD * Gear,
Christine Leigh, MD * Geier, Mark Robin, MD * George, Jojy Mattackal, MD *
Georges, Rebekah Leigh, MD * Ghattamaneni, Swapna, MD * Ghazale, Amaar Hassan,
MD * Ghazi, Samina Ansar, MD * Ghisoli, Maurizio Lorenzo, MD * Ghith, Tamim, MD
* Gilbert-Lewis, Kidada Nataki, MD * Gill, Amarjyot, MD * Gillaspie, Cassidy
Anne, MD * Gillman, Nicole, MD * Ginzel, Andrew William, MD * Glass, Tracy Lee,
DO * Gleason, Cindy Johnson, MD * Glenn, Sunny Jean, MD * Glickman, Peter L.,
MD * Gobal, Freij, MD * Goitom, Adiam Haileleul, MD * Goldsmith, Yuliya
Borisovna, MD * Golla, Sailaja, MD * Gomez Ballesteros, John Ivan, MD * Gomez
Delgado De La Flor, Mario, MD * Gonzalez, Virginia Yolanda, MD * Good, Meadow
Maze, DO * Goodenberger, Daniel Marvin, MD * Gopalakrishnan,
Lavanya, MD * Gopez, Angela G, MD * Gordon, Mollie Rebecca, MD * Gordon,
Michelle Elaine, DO * Gordon Burroughs, Sherilyn, MD * Gossman, Michelle
Jeanine, MD * Graham, David Bennet, MD * Gray, Karen Jane, MD * Grayson, Jackie
Catrina, MD * Green, Casey Brian, MD * Greenberg, Benjamin Morris, MD * Greendyk,
Tara, MD * Greenwood, Arthur John, MD * Griffin, Kellie Marie, MD * Griffith,
Nathaniel Lee, DO * Groh, Jesse Brookshire, MD * Gross, Eric Malcolm, MD *
Grossett, Robert Todd, MD * Grossman, Robert Steven, MD * Grossmann, Alicia
Willson, MD * Grullon-Mejia, Jeanette, MD * Gu, Xin, MD * Guenther, Dax
Alexander, MD * Gulati, Sujoy, MD * Gumidyala, Lokanatham, MD * Gunter, Kathryn
Snowdy, MD * Gupta, Neelam, MD * Gupta, Shaili, MD * Gupta, Jyoti, MD *
Gururaj, Bharath Raj, MD * Guthery, Brandon Kyle, MD * Guzman, Christopher
Zipagan, MD * Gwinn, Katrina Ann, MD * Haas, Michael Edward, MD * Habib, Ramla
Ahsan, MD * Hackerman, Clayton David, MD * Hackett, Paul Samuel, MD * Haddad,
Christopher Andrew, MD * Haglund, Sogol Sepehri, MD * Hales, Nathan Wayne, MD *
Haley, John Thomas, MD * Hallmark, Kelly Cash, MD * Halm, Ethan Allen, MD *
Hamid, Kamran Syed, MD * Hamilton, Mark Johnson, MD * Hammad, Ali, MD *
Hammonds, Heather Celest, MD * Hammonds, Lonnie Mark, MD * Hanna, Sabrina Ann,
MD * Hannah, Bonnie Patrick, MD * Hannah, Christina Diane, MD * Hanowell,
Ernest James, DO * Harder, Stephen James, MD * Harjai, Jogesh Kumar, MD * Haro,
Luis Humberto, MD * Harp, Eric Gregory, DO * Harper, Ross Aubrey, MD * Harrell,
Robert Brandon, MD * Harris, Bryan Mark, MD * Harrison, Natasha Nicole, MD *
Harshbarger, Raymond Jackson, MD * Hartman, Randy Joe, MD * Hasbun, Rodrigo, MD
* Hash, Robert Bruce, MD * Hashim, Ahammed, MD * Hassan, Iman, MD * Hatfield,
Bradley David, MD * Haug, Jendi Lyn, MD * Haun, Lara Kristine, MD * Hawkins,
Karin Nathalie, MD * Hayes, Jackie Allen, MD * Haynes, Allan Louis, MD *
Haynes, Neal Gregory, MD * Healy, John Albert, MD * Heartsill, Lucas Grant, MD
* Hegde, Dinraj Balakrishna, MD * Helmer, Drew Anthonie, MD * Herbig, Kathleen
Suzanne, MD * Hernandez, Brian Neal, MD * Hernandez, Luis Felipe, DO * Herrera,
Carmen Marbella, MD * Hessami, Tatjana, MD * Hesselbacher, Sean Eric, MD *
Hetherington, Kelly Alicia, MD * Hibbets, Gregory Lance, DO * Hicks, Taylor, MD
* Hingorani, Jaideep U, MD * Hitchcock, Linda Uhrig, MD * Hivnor, Chad
Mitchell, MD * Hoffman, Thomas Stewart, DO * Hong, Mauricio Federico, MD *
Hooks, Samuel Bennett Slade, MD * Hopkins, Paul Wesley, MD * Hosur, Srikanth,
MD * Hosur, Srilatha Banagiri, MD * Hotchkiss, Laura Anne, MD * Hovey, Charlotte
Eileen, MD * Hsiao, Marvin Lee, MD * Hsu, Nora Leung, MD * Hsueh, Willa Ann, MD
* Huang, Norman Ray, DO * Huebner, Jennifer Dunn, MD * Hui, Mei Yuan, MD *
Hulin, James Brett, DO * Hume, Christopher Shane, DO * Hunte, Michael Steven,
MD * Hursh, Timothy Alan, MD * Husmann, Derek Lane, MD * Husseini, Ziad
Mounzer, MD * Ibrahim, Hassan M, MD * Ijaz, Adeel, MD * Iloabachie, Kenny
Ekene, MD * Imseis, Essam Manuel, MD * Inman, Jared Christian, MD * Iqbal,
Vaseem, MD * Iqbal, Sayeed Nurul, MD * Irizarry, Ricardo Ruben, MD * Isaacs,
Seth Joseph, MD * Isinguzo, Chijioke Friday, MD * Izadi, Reza, DO * Iznaola
Esquivel, Oscar Alberto, MD * Jackson, Megan Michelle, MD * Jackson, Grace
Nightingale, MD * Jackson, David Bruce, MD * Jackson, Christopher Alden, MD * Jacob,
Cindy Sara, MD * Jacobs, Michael Keith, MD * Jacobson, Gregory H, MD * Jaffer,
Azul Shiraz, MD * Jafry, Raza Ahmed, MD * Jahan, Shormi Khadija, MD * Jain,
Sanjay Kumar, MD * Jamal, Ayesha, MD * James, Anthony Howard, MD * Jaramillo,
Luis Alejandro, MD * Javeri, Zahir Kurbanali, MD * Jayaraman, Gnananandh, MD * Jefic, Dane, MD *
Jenkins, Trevor L, MD * Jeschke, Marc Gerhard, MD * Jeselsohn, Rinath Malka, MD
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MD * Johnson, Stacie Lynn, MD * Jones, Kenneth, MD * Jordan, John Gibbons, MD *
Jose, Soni, MD * Josephs, Shana Bratcher, MD * Joyner, Melissa M, MD *
Julapalli, Rajitha, MD * Kagan, Ryan Mark, DO * Kalala, Srinivas, MD *
Kalidindi, Venkat, MD * Kamaraju, Sailaja, MD * Kamdar, Ankur Ashwin, MD *
Kang, Margaret, MD * Kannaeganti, Prasad Venkata, MD * Kannam, Hari Chandra
Prasad, MD * Kaplan, Richard Jeremy, MD * Kaporis, Helen G, DO * Kapur, Vishal,
MD * Kapur, Girish Bobby, MD * Karni, Ron Joseph, MD * Kathuria, Manoj Kumar,
MD * Katselnik, Daniel, MD * Katz, Ralph Peyton, MD * Kaul, Surinder, MD *
Kawai, Makoto, MD * Kawasaki, Michelle Marie, MD * Kehoe, Cullen Timothy, DO *
Kelly, Derek Keith, MD * Keyes, Elizabeth Rose, MD * Khalid, Muhammad, MD *
Khalidi, Hasan Shukri, MD * Khalil, Shoaib, MD * Khan, Umar Hassan, DO * Khan,
Asad, MD * Khan, Muhammad Ali, MD * Khan, Mehmood Hassan, MD * Khan, Muhammad
Farhan, MD * Khan, Naaz Fatima, MD * Khan, Shawn Jehan, MD * Khan, Faisal Nazir
Ahmed, MD * Khan, Amir Maqbul, MD * Khan, Fazal Ab, MD * Khattak, Ashbala, MD *
Khawaja, Imran Rashid, MD * Khokhar, Faisal Anwar, MD * Kidd, Christi Ann, MD *
Kiker, Dustin Gene, MD * Kim, Rebecca, MD * Kim, Jennifer Mee Young, MD * Kini,
Margaret Alice Kouril, MD * Kinsella, James Jeremy, MD * Kirby, Matthew Walker,
MD * Kirkpatrick, Aaron David, MD * Klimisch, Justin John, MD * Knoedler, John
Paul, MD * Kobayashi, Masahiko, MD * Kobbermann, Anne Meredith, MD * Kochan,
Christopher John, MD * Kodali, Srinivas, MD * Kodali, Sathish, MD * Koduri, Hemantha
Kumar, MD * Kok, Mitchell Patrick, MD * Komak, Spogmai, MD * Konda, Sangeetha
Reddy, MD * Korbin, Craig Daniel, MD * Koshkin, Eugene, MD * Kotla, Venumadhav
Reddy, MD * Kovoor, Philip Abraham, MD * Krause, John Richard, MD * Krolls,
Tanya Brown, MD * Kross, Timothy Joseph, MD * Krupnik, Yelena, MD * Kumar,
Jaya, MD * Kumaresan, Hari Ganapathy, MD * Kunavarapu, Chandrasekhar R, MD *
Kuriakose, Ajith, MD * Kurian, Babin, MD * Kwok, Yong, DO * Kwon, Michael Soon
Il, MD * Kwon, Jungho Lee, MD * Kwon, David Soonmin, MD * Kyle, William Buck,
MD * Laborde, Carrie Elizabeth, MD * Lacy, Gregory Lamont, MD * Lager, Donna
Jean, MD * Laham, Federico Ricardo, MD * Lai, Stephen Yenzen, MD * Lamanteer,
Michael John, MD * Lambert, David Paul, MD * Landen, Donna Akane, MD *
Langeland, Dawn Tu-Dong, MD * Langevin, Claude-Jean, MD * Lankford, Daniel
Burgess, MD * Lapus, Robert Michael, MD * Larkin, Elicia, MD * Larson,
Christopher Lee, DO * Larson, Jonathan David, MD * Larson, Annalise Noelle, MD
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Georgia Sue, MD * Latib, Nashat, DO * Latif, Sherif Medhat, MD * Lavu, Kalyana
Chakravarthi, MD * Law, Michelle Marie, DO * Lawrance, Elizabeth Anne, MD *
Lawrence, Russell Keith, MD * Lazarus, Donald Ray, MD * Le, Galen Cuong, MD *
Le, Lan Thanh, DO * Le, Binh-Minh Nguyen, MD * Ledig, Erik Otto, MD * Ledley,
Annmarie McRena, DO * Lee, Stacy Lane, MD * Lee, Olivia Ao-Li, MD * Lee, Paul
Sung, MD * Lee, Justin Michael, MD * Lee, Dale Young, MD * Lee, Warren Gamaliel,
MD * Lee, Mark Robert, MD * Leete, Tyler Gray, MD * Legere, Claudia Louise, MD
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MD * Levy, Moshe Yair, MD * Lewin, Jack Roy, MD * Lewis, Carol Ming, MD * Li,
Morgan Kuang-Tsu, MD * Li, Shelley Qingli, MD * Li, Ying, MD * Lidestri, Paula
Ann, MD * Lien, Ellisiv, MD * Liles, Nathan Daniel, MD * Lin, Cristiane Gurgel,
MD * Lin, Lavinia Hsuan-Ju, MD * Lin, Yuezhen, MD * Linver, Eron Shall, MD *
Little, Danny Carlton, MD * Liu, Yinghui, MD * Loar, Kimberly Beth, MD * Loar,
Paul Victor, MD * Lobo, Alan Francis, MD *
Loftis, Brent, DO * Longe, Oluwole Oluwamuyiwa, MD * Longoria, Jason
Arturo, MD * Lopez, Michelle Ann, MD * Lopez, Sheri Denise, MD * Loquias, Jesus
Arthur Pelonia, MD * Lorenz-McGinnis, Rachel Celeste, DO * Loyd, Jefferson
Carl, DO * Lue, Stanley Garken, MD * Lund, Pamela Jean, MD * Lung, Sophie, MD *
Ly, Hongdu K, DO * Ly, Peter Danh Cong, MD * Lynch, Christopher, MD * Lynch,
Isaac Paul Kaufmann, MD * Lynch, Kelly Elizabeth, MD * Lypka, Michael
Alexander, MD * Macfarlane, John Ralph, MD * Mackenzie, John Stuart, DO *
Mackinnon, Andrew Ian, MD * Madadi, Shilpa, MD * Madrid, Tiffany Shea, MD *
Maewal, Param, MD * Maggio, Vijay, MD * Magnuson, Kristopher P, MD * Mahowald, Matthew
Richard, MD * Major, James Calder, MD * Makishima, Tomoko, MD * Mambalam,
Praveen Kumar, MD * Manatt, Christopher Scott, MD * Manchanda, Neeraj, MD *
Mancuso, James Jacob, MD * Mank, Gerald Wayne, MD * Maoz, Tommy Tomer, MD *
Mareth, David Rolf, MD * Marichetty Siddhappan, Murugesan, MD * Marin, Ana
Hernandez, MD * Marshall, C Perry, MD * Martin, Warren Clawson, MD * Martin,
Frances Marian, MD * Martin, Stacey Kathleen, MD * Martin, Luis Alberto, MD *
Martin, Matthew Alton, MD * Martinez, Alfred John, MD * Martinez, Benjamin
Seth, MD * Massey, Brian Curtis, MD * Mathews, Arun Tom, MD * Matlock, Kelly
Diane, MD * Matshes, Evan, MD * McCants, Shannon Elizabeth, MD * McClendon,
Laura Catherine, MD * McClintock, Jacob Nelson, MD * McDaid, Kevin Christian,
MD * McEwen, Doug Ryan, MD * McGuckin, James Frederick, MD * McKenzie, Trina
Dorrah, MD * McKey, Jesse Bryant, MD * McKnight, Heather Michelle, MD *
McKnight, Techksell Meshell, MD * McNair, Jenifer Lyn, MD * McNally, Brian
Patrick, MD * McNeil, Jonathon Chase, MD * McNeill, Christopher John, MD *
McNemar, Mark Evan, DO * Meeks, Jacqueline Phoenix Chen, MD * Meisamy, Sina, MD
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Robert, MD * Mendez-Martinez, Jose Ignacio, MD * Menefee, Kiplan Trey, MD *
Menes, Stephanie Ifeoma, MD * Merritt, Kavita Mahajan, DO * Merritt, Christina
Elaine, MD * Messa, Matthew Jonas, DO * Messier, Christopher Brian, MD *
Methuku, Aparna, MD * Metting, Austin Layne, MD * Metzger, Brian Scott, MD * Meyer,
Jeffrey John, MD * Meyermann, Mark William, DO * Mezger, Kyle Lee, MD *
Michienzi, Joseph William, MD * Mihu, Coralia Nanina, MD * Millas, Stefanos
George, MD * Miller, Brandon James, MD * Miller, Shane Michael, MD * Miller,
Jonathan Scott, MD * Miller, Dillon Derrick, MD * Miller, Tesa Taryn, MD *
Miller, Alan Marshall, MD * Min, Aung Zaw, MD * Minielly, Robin Christopher, MD
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MD * Moczygemba, Charmaine Kay, MD * Moein, Mahshid, MD * Moeller, Molly
Kathleen Boyce, MD * Mohammad, Fawzi Tawfic, MD * Mohindra, Raghav, MD *
Mohsin, Asia, MD * Mohyuddin, Tayyab, MD * Mok, Ivan Enrique, DO * Mokwe, Evan
O, MD * Moncayo, Rafael Eduardo, MD * Montoya, Alberto Eduardo, MD * Moola, Sunita,
MD * Moon, Teresa Lynn, MD * Moon, Bryan Scott, MD * Moore, David Rayburn, MD *
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MD * Moreland, Gavin Joe, MD * Moreno, Miguel Andres, MD * Moretti, Paolo M, MD
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Morrey, Matthew Charles, MD * Morris, Tricia Judith, MD * Morris, Shaine
Alaine, MD * Morsch, James Kyle, MD * Morsy, Mohamed Abdel Kader, MD * Muir,
Mark Thomas, MD * Mujahid, Ambreen, MD * Muncrief, Charles Hugh, DO *
Mundrawala, Batool Amir, MD * Munikrishnappa, Devaraj, MD * Munoz, Cruz Arturo,
MD * Muolokwu, Enyioma Anuli, MD * Murch, Alissa Catherine, MD * Murillo, Tomas
Alberto, MD * Musick, Matthew Allen, MD * Myatt, James Phillip, MD * Myers,
Derrick Marlin, MD * Myers, Timothy Vernon, MD * Mylavarapu, Srikrishna, MD *
Naaz, Nahid, MD * Nair, Ambika Kumari, MD * Nambiar, Rajesh, MD * Narang,
Nisha, MD * Nash, Marianne Elizabeth, MD * Nassi, Lorien Alford, MD *
Natarajan, Malarvizhi, MD * Naus, John Paul, MD * Nawab, Ursula Seemi, MD *
Neal, Troy Michael, MD * Neela, Rekha Srinivas, MD * Neelakantan, Suguna
Krishnammal, MD * Nelson, Wayne Kent, MD *
Nelson, Christopher Brett, MD * Ness, David Eli, MD * Nevah Rubin,
Moises Ilan, MD * Newhook, Milena, DO * Newman, Martin Eric, MD * Newman,
Joseph Matthew, MD * Newton, Lindsay Dawn, MD * Newton, Diane Ruth, MD *
Nguyen, Alexis Lan, DO * Nguyen, Janet Sue, MD * Nguyen, Julie Caotrieu, MD *
Nguyen, Steven Andrew, MD * Nguyen, Mai Thanh-Thuy, MD * Nguyen, Khanh Phuong,
MD * Nguyen, Phuong Thi, MD * Nguyen, Tony Kim, MD * Nguyen, Tuan Duc, MD *
Nguyen, Christopher Vinh, MD * Nichols, Cynthia Lee, MD * Nick, Alpa
Manchandia, MD * Nickens, Wesley Scott, MD * Nielsen, Christopher Michael, MD *
Ninh, Jimmy Viet, MD * Norwood, Tamara Naomi, MD * Novak, Susan Pujari, MD *
Nwaneri, Matthew Obinna, MD * Obenza, Marita Aileen Noguera, MD * Oberste,
David Jason, MD * Obinabo, Uzoamaka Mma, MD * O’Carroll, Kelly Farrell, MD *
O’Carroll, Peter Joseph, MD * Ochoa, Robert Anthony, MD * Ochoa, Lyssa Neida,
MD * O’Connor, Julie Camp, MD * Odulaja, Kolawole Ademuyiwa, MD * Ogebe, Ori
Sarah, MD * Ogunleye, Sesan Fatuade, MD * Oh, Bryan Chang-Seok, MD * Ohanian,
Maro, DO * O’Hara, Collin Joy, MD * Ohlemacher, Jessica Lundry, MD * Olejeme,
Kelechukwu Anne, MD * Olson, Laura Elaine, MD * Omeis, Ibrahim, MD * O’Neill,
Thomas Joseph, MD * Oneto, Julieta Mariana, MD * Ong, Desiree S, MD * Onime,
Aideloje Adoga, MD * Onyiego, Sherri Danyelle, MD * Oppong, Charles, MD * Osborn,
Frank David, MD * Osborn, Amie Nicole, MD * Osgood, Kevin Glen, MD * Osipow,
Michael Terrence, MD * Osowo, Ayodele Temitope, MD * Ost, David Edward, MD *
Ostadian, Mahta, MD * Ouyang, Jeannette, MD * Owens, Danny Paul, MD * Owens,
Andrew Wesley, MD * Owusu-Boakye, Cyril, MD * Pack, Billie Candice, DO *
Padilla-Williams, Liliana, MD * Paily, Paul, MD * Pak, Eugene, MD * Pak, Anna
Seong-Hee, MD * Pal, Jeffrey, MD * Palacio, Natalia Angela, MD * Palvadi, Raja
Rama Mohana Rao, MD * Pandian, Nithiyanandhi, MD * Pandian, Chelliah, MD *
Panicker, Harish Krishna, MD * Pankaj, Shilpa Thakkar, MD * Panwar, Monica, MD
* Parekh, Palak Kishorkumar, MD * Parhizgar, Alireza, MD * Park, John Jungsik,
MD * Parker, Wendy Lynne, MD * Parker, Jason Anthoney, MD * Parrino, Suzanne
Stephanie, MD * Parsley, Billy K, MD * Parsons, Donald Williams, MD * Parsons,
Alden Maier, MD * Passe, Theodore John, MD * Patel, Shalin, MD * Patel, Jayesh
K, MD * Patel, Premal T, MD * Patel, Nihar Vikram, MD * Patel, Anand D, MD *
Patel, Dhruv Chandrakant, MD * Patel, Vishal, MD * Patel, Parag Dhirubhai, MD *
Patel, Neha Ravindra, MD * Patel, Vivek Amrat, MD * Patel, Rajiv Arvind, MD *
Patel, Nimesh, MD * Patel, Sneha, MD * Patel, Ankit Mukesh, MD * Patel, Kavita,
MD * Patel, Rima Harivadan, MD * Pathalapati, Radhika, MD * Patni, Puneet, MD *
Paulson, Stephen Myhre, MD * Pautler, Denise Lea, MD * Pawlowicz, Ivan Noe, MD
* Payne, William David, MD * Pearce, Benjamin Jay, MD * Pearch, Elizabeth Anne,
DO * Pechitty, Smita Sagar, MD * Pecot, Chad Victor, MD * Pekar, Nathan Henry,
MD * Pelini, Susan Ewers, MD * Pelini, David Charles, MD * Pemmaraju, Naveen,
MD * Pena, Rene Mario, MD * Pena, Alice Mercedes, MD * Pendergrass, Merri Lou,
MD * Peng, Fangyu, MD * Pero, Colin Daniel, MD * Perry, Jesse Edward, MD *
Pesce, Danielle Marie, DO * Peters, John Michael, MD * Peterson, Jennifer Dawn,
MD * Phan, Jack, MD * Phan, Phillip C, MD * Phan, Nghi Bao, MD * Phillips, Jan
Elizabeth, MD * Phillips, David Jason, MD * Phung, Vu, MD * Pickel, Stephanie
Ann, MD * Pillow, Malford Tyson, MD * Pine, Harold Scott, MD * Pirouzian, Amir,
MD * Pisklak, Stacey Raab, MD * Pittman, Laura Marguerite, MD * Plummer, Ellen
Stilz, MD * Poh, Melissa Moon-Nan, MD * Polce, Roma Chandrakant, MD * Polce,
Dean R, DO * Poliak, Nina, MD * Porter, Matthew William, MD * Porter, John
Warren, MD * Powell, Leslie Denise, MD * Power, Thomas Patrick, MD * Powers,
Michelle Leigh Ehrlich, MD * Pravat, Nara Prapan, DO * Prem, Anand M, MD *
Proud, Monica Bolano, MD * Puducheri, Varun Ramesh, MD * Punsalan, Leonora
Tricia, MD * Purkayastha, Tania, MD * Puthalapattu, Sowmya, MD * Puthottile,
Jason Williams, MD * Qayyum, Mohsin, MD * Quach, Michael, MD * Qureshi, Yousuf
Amin, MD * Rabin, Andrew Michael, MD * Rabon, Shona, MD * Rachal, Henry, MD *
Radhakrishna, Pavana, MD * Ragsdale, Timothy Franklin, MD * Rahim, Malik Tariq,
MD * Rahimi Danesh, Farhad, MD * Rainey, Scott Gregory, DO * Raj, Ramona, MD *
Rajan, Vik Ram, MD * Ramakrishnan, Thiruvengadam, MD * Ramasahayam, Manju, MD *
Ramirez, Raul Carlos, MD * Ramos, Sarah Elizabeth, MD * Ramsey, Patrick
Shannon, MD * Rana, Sameer, MD * Rana, Irfan Rafiq, MD * Randolph, Gannon
Brandt, MD * Rangasetty, Umamahesh Chanarayapatna, MD * Ransom, Scott Brian, DO
* Rao, Prashanth Ramakrishna, MD * Raparia, Kirtee, MD * Rashid, Rashid, MD *
Ravanfar, Parisa, MD * Ray, Thaddeus Alexas, DO * Razi, Niosha, MD * Reahard,
Amanda, MD * Recavarren Asencios, Rosemary Abigail, MD * Reddy, Madhusudhan
Pothireddy, MD * Redmond, Andy Juney, MD * Reep, Peggy Jo, MD * Reeves,
Stephanie Linsteadt, DO * Rhim, Richard Dongil, MD * Rianon, Nahid Jamal, MD *
Riccitello, Jon Michael, MD * Rice, Alan Michael, MD * Rice, Cory Stephen, DO *
Rice-De, Elizabeth Eun Hae, MD * Richards, David Matthew, MD * Richardson,
Oneka Yolanda, MD * Riolo, Catherine Marie, MD * Rios, Danielle Rae, MD *
Rivera, Julio Roberto, MD * Rivera, Michelle, MD * Rivera-Perez, Felix Gabriel,
MD * Rizkalla, Sherif Magdy, DO * Rizzutto, Ashley Sledge, MD * Roberts, Tana
Peterson, MD * Roberts, Jolie Katherine Cullen, MD * Robinson, Ted Hugh, MD *
Robinson, Derek Jermaine, MD * Rockwell, John Chadwick, MD * Rodgers, Heide
Alexandra, MD * Rodriguez, Joy Anne Nelson, MD * Rodriguez, Ana Marina, MD *
Rodriguez, Lia Cristina, MD * Rodriguez, Carlos Luis, MD * Roeser, Andrew Christopher,
MD * Roh, Mark Stephen, MD * Romero, Leigh Anne, MD * Romo-Contreras, Monica,
MD * Roopani, Ghazala Quddus, MD * Rosa-Bray, Marilyn, MD * Roschmann, Simone
Marie, MD * Rosenberg, Carrie Elizabeth, MD * Rosero, Ramiro Rene, MD * Rotan,
Edward Earl, MD * Rothenbach, Thomas A, MD * Rothrock, Robin Elizabeth, MD *
Rowley, Matthew Thomas, MD * Rubalcava, Daniel Martin, MD * Ruiz, Peter
Anthony, MD * Rush, Mikaela Dayne, MD * Rush, Ryan Bradford, MD * Rutledge,
Michael Roberds, MD * Rylie, Sarah Elizabeth, MD * Saad, Mohamad, DO * Sabia,
Michael, MD * Sablan, Mario Kekona, DO * Sadiq, Smitha, MD * Sadiq, Raheela, MD
* Saenz, Linda Jo, MD * Saenz, Jorge, MD * Safo, Anthony-Osei Frimpong, DO *
Sager, Rebecca, MD * Sager, Wayne Leslie, MD * Sagullo, Raquel Mia, MD * Saha,
Joyoti, MD * Sakai, Tomoya, MD * Salas, Ming-Shing Hsieh, MD * Salazar,
Gilberto Antonio, MD * Salem, Aram Naraghi, MD * Salinas, Ezequiel David, MD *
Salooja, Rahul, MD * Saltzmann, Robert Michael, MD * Samaha, Sahar Abdelmohsen,
MD * Samathanam, Christina Ann, MD * Samreen, Sarah, MD * Sanchez, Fernando
Luis, MD * Sanchez-Ellig, Marina, MD * Sander, Patrick Wesley, MD * Sandoval,
Maria De Los Angeles, MD * Sangani, Bharat Himatlal, MD * Santiago, Mary
Aileen, MD * Santiago-Jurado, Dhalma Cecilia, MD * Santora, Rachel Joy, MD *
Santos, Ivan Mark, MD * Santos, Xiomara Marie, MD * Santos Day, Jacqueline A,
MD * Saqqa, Samer George, DO * Saria, Hussaina Yousuf, MD * Sathyamoorthy,
Mohanakrishnan, MD * Sattar, Bibi Tasleyma, DO * Saul-Sehy, Cheryl Lynn, MD *
Sauris, Edward Vito, MD * Savcenko, Vladimir, MD * Savona, Michael Robert, MD *
Sawaya, Sam Elie, MD * Sawhney, Vishal, MD * Saya, Shoaib Haroon, MD * Scanks,
Keira Nicole, MD * Schanzmeyer, Elizabeth Gilmore, DO * Schaper, Dina Carol, DO
* Schiesser, Rachel Lynn, MD * Schmidt, Marty, MD * Schnaiderman, David, MD *
Schneider, Jack Joseph, MD * Schroeder, Anna Burns, MD * Schwarcz, Ricardo
Martin, MD * Schwarz, Evan Stuart, MD * Schwope, Ryan Becton, MD * Schwope, Ora
Ilana, MD * Scism, Jason Thomas, DO * Scott, Philip L, DO * Scott, William
Geoffrey Starr, MD * Seguias, Luis Fernando, MD * Seroyer, Shane Thomas, MD *
Sethi, Manu, MD * Shafiu, Mohamed, MD * Shah, Nishant Raj, MD * Shah, Darshan
Pravin, MD * Shah, Swati Ruchir, MD * Shah, Sweta Santosh, MD * Shah, Shinil K,
DO * Shah, Tina Pravin, MD * Shah, Mudita Kirit, MD * Shah, Shiwan Kamal, DO *
Shah, Nirav Jitendra, MD * Shah, Dar Bharat, MD * Shah, Neeraj Bhagwan, MD *
Shah, Shilpa, DO * Shakouri, Alireza Allen, MD * Shama, Zareena, MD * Shanina,
Elena, MD * Sharma, Meenu, MD * Sharma, Naginder, MD * Sharma, Pooja Bhawana,
MD * Sharma, Devesh, MD * Sharp, Hadley Jean, MD * Shchelochkov, Oleg
Anatolyevich, MD * Sheely, Christina Marie, DO * Sheikh, Sarah Hussain, DO *
Sheikh, Kazim Ali, MD * Shelton, Kevin James, MD * Shelton, Gregory Scott, MD *
Sheppard, Lisa M, MD * Shet, Prakash Shivaram, MD * Shirodkar, Alka, MD *
Siddiqua, Tahrin, MD * Siddiqui, Reaz Mahmood, MD * Siemens, Richard Lee, MD *
Silverblatt, Nancy Sue, MD * Simmons, John Franklin, MD * Simpkins, Nicole, MD
* Simpson, Corey Brooke, MD * Singh, Punita, MD * Singh, Lakhwant, DO * Singh,
Prachi, MD * Singleton, Terrica Rochelle, MD * Sirsi, Deepa, MD * Siskowski,
Matt Robert, MD * Smith, Craig Anthony, MD * Smith, Oluwatosin Urowoli, MD *
Smith, Kyle Preston, DO * Smith, Nathan Michael, MD * Smith, Benjamin David, MD
* Smith, Chad Richard, MD * Smith, Tessa Evett, MD * Smith, Sharon Althea, MD *
Smith, Justin Ray, MD * Smith-Knuppel, Teresa Kay, MD * Smith-Sham, Stephanie
Dee, MD * Sodhi, Jagdeep Singh, MD * Sokol, Matthew Peter, MD * Soto, Efrain E,
MD * Soudan, Khaldoun, MD * Speidel, Francis Xavier, MD * Spillman, Monique
Ann, MD * Spinks, Shaun Robert, MD * Splenser, Andres Efrain, MD * Sreenath
Nagamani, Sandesh Chakravarthy, MD * Srivastava, Neeraj, MD * Stacey, Joanna,
MD * Stahl, Benjamin, MD * Steigman, Carmen Kay, MD * Stephens, Robert Paul, MD
* Stocco, Amber Jo, MD * Stone, Adam, MD * Stoos, Autumn Eve, DO * Stroope,
Shannon O’neal, MD * Styrvoky, Ann Elizabeth, MD * Subbaraman, Aparna, MD *
Subhan, Alia, MD * Suede, Charles Alan, MD * Sugalski, Aaron Jon, DO * Sugar,
Scott Louis, MD * Sule, Norbert, MD * Sullivan, Patrick Philip, MD * Sum Ping,
Sam Thio, MD * Sun, Qiang, MD * Sun-Wright, Amie Mao, MD * Supaswud, Tingnong, MD
* Surovik, Jamie Goodall, MD * Swanson, Megan Ann, MD * Syed, Nayyar Tauheed,
MD * Szeto, Douglas Bryan, MD * Tabaczewski, Piotr H, MD * Tadjali, Azita
Kazemini Monfared, MD * Takahashi, Guy Hideo, MD * Talavera, Julie Marie, MD *
Tamirisa, Aparna, MD * Taneja, Vibha, MD * Tanner, Dennis James, MD * Taquet,
Sybil Jane, MD * Tarakji, Muhammad Anas, MD * Tasneem, Zareen, MD * Tasneem,
Tehmina, MD * Tavee, Winston Danai, MD * Taylor, Peter Andrew, DO * Taylor,
Myiesha Draon Nancy, MD * Taylor, Shane Rollin, DO * Taylor, Shakaala Rhakel,
MD * Tee, Ronald George, MD * Teff, Richard John, MD * Terlecki, Theresa
Marosi, MD * Terry, Jill Rachel, DO * Thestrup, Lars, MD * Thibodeau, Bryan
Christopher, MD * Thomas, Vanessa, MD * Thomas, Winifred Nancy, MD * Thomas, Judy
Lynn, MD * Thomas, Patrick Bruce, MD * Thomas, Nathan Truett, MD * Thompson,
Corey Adam, MD * Thompson, Alexander Wesley, MD * Thornton, Nathan Lee, MD *
Tibrewal, Anil Kumar, MD * Tidroski, Christopher, DO * Tigel, Phillip David, MD
* Tilleros, Elisabeth Anne, MD * Tilley, Molly Ann, MD * Tinkler, Brandon
Allen, MD * Tipirneni, Samatha, MD * Tison, Brian Edward, MD * Todaro, Matthew
Anthony, MD * Todd, Michael Shannon, DO * Tolin, Fredrik Paul, MD * Tomacruz,
Yvette Corinne, MD * Torkelson, Nina Lee, MD * Toro, Maria Teresa, MD * Torres,
Monica, MD * Torres, Victor Jesus, MD * Torres, Miriam Marleny, MD * Torres,
Francisco Javier, MD * Torres, Saul, MD * Tran, Mai Thi, MD * Tran, Phuong
Huynh, MD * Tran, Hien Thien-Hai, MD * Trappey, George Joseph, MD * Trazzera,
Melissa Lillyan, DO * Trenschel, Robert John, DO * Troiano, Robert Michael, MD
* Trotter, James Ford, MD * Truong, Tiep Buu, MD * Trussell, Joshua Kyle, MD *
Tudi, Savitha Reddy, MD * Tunstall, Stanley Ray, MD * Tyler, Tana Corliisha, MD
* Uddin, Muhammad Moin, MD * Uddin, Fatema Sultana, MD * Uduevbo, Jerry Ainene,
MD * Um, Se Young, MD * Umber, Afia, MD * Unzueta-Hernandez, Mary Richelle, MD
* Urs, Niveditha, MD * Uyesugi, Walter Yutaka, DO * Vachhani, Shital, MD *
Vaillant, Brian David, MD * Vallejo-Manzur, Jose Federico, MD * Van Arsdall,
Melissa Renee, MD * Van Buren, Peter Noel, MD * Van Delden, Ellen Swann, MD *
Van Zandt, Bryan Lee, MD * Vanden Berge, Kevin Marinus, MD * Varadarajan,
Shruti, MD * Varav, Kalle, MD * Vardhineni, Kumudini, MD * Vargas, Daniel, MD *
Varghees, Sunita Elizabeth, MD * Vasek, James Vencil, MD * Vasudevan, Madhuri
Mukhopadhyay, MD * Vayner, Oleg, MD * Vedati, Durga Prasad, MD * Vega Dulanto,
Ivanoe Jose Antonio, MD * Vegi, Srivalli, MD * Vegunta, Ravindra Kumar, MD *
Velagapudi, Shanti, MD * Velan, Prabhu Mani, MD * Velazco, Jorge Francisco, MD
* Velazquez, Francisco Ramon, MD * Velez-Martinez, Mariella, MD * Ver Halen,
Jon Peter, MD * Viator, Mickey James, MD * Vidaurri, Lytorre Denise, MD *
Villamil, Miguel A, MD * Vineyard, Joseph Carmichael, MD * Vinh, Baominh
Philip, MD * Viswam, Gita, MD * Vohra, Sameera, MD * Voskuhl, Gene Wayne, MD *
Vossoughi, Faranak, MD * Vu, Julie Khanh, MD * Vu, Khang Nguyen, MD * Wageneck,
Robert Allan, DO * Wagner, Tara Tilicek, MD * Wai, Shannon San San, MD *
Walker, Angela Fields, MD * Walker, Bettina Bridgford, MD * Walker, Eric
Alfred, MD * Walker Ellis, Danya Khalilah, MD * Wall, Mark Burnette, MD * Wang,
David William, MD * Wang, Wei-Lien Billy, MD * Ward, Jennifer Elaine, DO * Warren,
Lezlie Rene, MD * Warthan, Molly Mae, MD * Waruingi, Wambui, MD * Washington,
Evelyn T, MD * Watson, Scott Karl, MD * Watson, Clay Conrad, MD * Watts, Greta
Yvonne, MD * Webb, Heather Rebecca, MD * Weingarten, Marvin Jacob, MD *
Weisensee, Anne Marjorie, MD * Weiss, Katherine Jean, MD * Whitaker, Gary
Laurence, MD * Whitaker, Duane Cole, MD * Wiese, Don Edward, MD * Wieser, Beth
Renee, DO * Wild, Jeffrey Layman, MD * Williams, Nathan Edward, MD * Williams,
Michael Brandon, MD * Willoughby, Vickie, DO * Wilson, Benjamin Scott, MD *
Wilson, Frederic Jean-Francoise, MD * Wimberly, Jennifer Markusic, MD *
Winslow, Heather Hahn, MD * Witherspoon, Scott Robert, MD * Witte, Katherine
Elizabeth, MD * Wittenberg, Keith Hunt, MD * Wohlwend, John, MD * Woitalla, Finbar
Francis, DO * Wold, Peter Brandford, MD * Wolff, James Daniel, MD * Wong,
Adrian Alexander, MD * Wong, Robert William, MD * Woods, Amy Powers, MD *
Woolard, Robert, MD * Wright, Russell W, MD * Wynn, Andrew Joseph, MD * Wynne,
Abigail Flores, MD * Yallampalli, Sasidhar, MD * Yaltho, Toby C, MD * Yang,
Fan, MD * Yang, Eric Yota, MD * Yarbrough, Shannon, MD * Yau, Peter, MD *
Yazbeck, Moussa Fouad, MD * Yerger, Nathan Kody, MD * Yoo, Sonja Lee, DO *
Yoon, Caroline Kun, MD * Yoon, Hooby Pius, DO * Young, Angeline An, MD * Young,
Amber Elizabeth, MD * Youssef, Emad Fouad, MD * Yue, Joyce Won-Kai, MD * Zahn,
Jennifer Hayden, MD * Zehr, Kenton James, MD * Zelisko, Michael Blaine, MD *
Zem, Carlos Henrique, MD * Zinn, Brandon Keith, DO * Zolfoghary, Miriam Christine,
MD
Disciplinary Actions
Since the Fall 2008
issue of the Medical Board Bulletin, the Board has taken disciplinary
action on 170 physicians and two surgical assistants. The Board issued two
cease and desist orders for unlicensed practice. The following is a summary of
those actions.
QUALITY OF CARE
VIOLATIONS
Abou-Sleiman, Joseph E., Lic. #L9593,
On December 12, 2008, the Board and Dr. Abou-Sleiman
entered into an Agreed Order requiring that, within two years, Dr. Abou-Sleiman
obtain 20 hours of continuing medical education as follows: five hours each in
risk management, recordkeeping, ethics and weight-loss management. The action
was based on Dr. Abou-Sleiman’s inappropriate prescribing, dispensing and
management of a weight-loss patient.
Alaswad, Bashar, M.D., Lic. #K0597,
On February 6, 2009, the Board and Dr. Alaswad entered into
an Agreed Order requiring that he obtain 10 hours of continuing medical
education in risk management within 12 months and pay an administrative penalty
of $3,000. The action was based on his failure to review an X-ray prior to
stomach surgery to determine if a tack swallowed by a child was still in the
child’s stomach.
Arnold, Lloyd E., M.D., Lic. #D0031,
On April 3, 2009, the Board and Dr. Arnold entered into an
Agreed Order requiring that, within one year, Dr. Arnold take 10 hours of
continuing medical education in medical recordkeeping, five hours of CME in
prescribing psychopharmacological drugs, and five hours in the evaluation and
treatment of psychiatric disorders. The action was based on Dr. Arnold’s
prescribing Xanax and Miralax to a 10-year-old without proper exam, history or
assessment.
Arzola, Fernando Luis, M.D., Lic. #L7274,
On December 12, 2008, the Board and Dr. Arzola entered into
an Agreed Order requiring that Dr. Arzola contact the Texas A & M Health
Science Center Rural and Community Health Institute (K-STAR) to schedule an
assessment to determine whether Dr. Arzola should undergo an education plan, and
that he complete and sign the written assessment from K-STAR within the time
period specified by K-STAR or within 180 days from the date of the order and,
if K-STAR recommends an education program, that he successfully complete the
program. The action was based on Dr. Arzola’s failure to properly manage, treat
and prescribe to a patient with multiple symptoms and chronic pain and to
adequately document his care of the patient, who showed indications of
drug-seeking behavior.
Carroll, Lance, M.D., Lic. #K6448,
On April 3, 2009, the Board and Dr. Carroll entered into an
Agreed Order requiring that he pay an administrative penalty of $500 within 60
days. The action was based on Dr. Carroll’s allowing technicians to perform
colonic hydrotherapy on two patients without providing complete orders.
Chavez-Rice, Eugenio, M.D. Lic. #F4789,
On December 12, 2008, the Board and Dr. Chavez-Rice
entered into an Agreed Order requiring that, within one year, Dr. Chavez-Rice
obtain 10 hours of continuing medical education in ethics and 10 hours in
medical recordkeeping and pay a $1,000 administrative penalty. The action was
based on Dr. Chavez-Rice allowing employees of a day spa to perform procedures
and administer and prescribe various treatments without supervision and
sometimes without physical examination.
Childers, Cecil Adison, M.D., Lic. #C8922,
On December 12, 2008, the Board and Dr. Childers
entered into an Agreed Order requiring that Dr. Childers’ medical records be
reviewed by a chart monitor for one year. The action was based on the Board’s
determination that Dr. Childers did not have a documented patient evaluation or
treatment plan for the diagnosis of bipolar depression to justify treatment and
the medical basis for other medications he prescribed for a patient.
Chow, Clement, M.D., Lic. #E4253,
On December 12, 2008, the Board and Dr. Chow entered
into an Agreed Order requiring that, within one year, Dr. Chow take the
Crowder, Felice Fay, D.O., Lic. #J9652,
On December 12, 2008, the Board
and Dr. Crowder entered into an Agreed Order requiring that Dr. Crowder obtain
10 hours of continuing medical education in diagnosis and management of
respiratory infections in infants and children. The action was based on Dr.
Crowder’s failure to properly treat a fever and respiratory infection in a
19-month old, resulting in the child’s developing bilateral pneumonia that
required a nine-day hospital stay.
Dalley, Albert Sean, M.D., Lic. #L5295,
On December 12, 2008, the Board
and Dr. Dalley entered into a two-year Agreed Order of public reprimand
requiring that his medical records be reviewed by a chart monitor and, for each
year of the order, that he obtain 10 hours of continuing medical education in
risk management. The action was based on Dr. Dalley’s failure to convey test
results to a patient’s primary physician, thereby delaying treatment for a
metastatic adenocarcinoma.
Fulp,
Ray R. “Trey,” D.O., Lic. #J7963, McAllen TX
On December 12, 2008, the Board
and Dr. Fulp entered into an Agreed Order requiring that Dr. Fulp’s medical
records be reviewed by a chart monitor and that he complete, within one year,
16 hours of continuing medical education in risk management with emphasis on
patient education concerning surgery. The action was based on Dr. Fulp’s
failure to maintain adequate medical records with regard to surgical patients.
Gillett, David Paul, M.D., Lic. #L3659,
On February 6, 2009, the Board and Dr. Gillett entered into
a three-year Agreed Order of public reprimand requiring that he obtain 10 hours
of continuing medical education in emergent care and 10 hours of CME in patient
communication for each year of the order. The action was based on Dr. Gillett’s
failure to properly evaluate and diagnose an emergency room patient who died
from septic shock secondary to bowel perforation.
Gruchacz, Pamela Ann, M.D., Lic. #L2291,
On February 6, 2009, the Board and Dr. Gruchacz entered into
an Agreed Order requiring that she not perform biliary surgery in
Gutierrez, Carlos Abraham, M.D., Lic, #F8501,
On February 19, 2009, the Board and Dr. Gutierrez
entered into a Waiver of Informal Settlement Conference and Agreed Order which
requires that Dr. Gutierrez pay an administrative penalty of $1,000 within 60
days. The action was based on Dr. Gutierrez having prescribed two controlled
substances for a family member for a period of 30 days when that person’s
regular physician was temporarily unavailable.
Hancock, Joseph E., M.D., Lic. #H8676,
On April 3, 2009, the Board and Dr. Hancock entered into a
Mediated Agreed Order requiring that, within one year, he obtain 10 hours of
continuing medical education in medical recordkeeping. The action as based on
Dr. Hancock’s inadvertently placing a PEG tube in a patient who was not
scheduled for one.
Hayes,
On February 6, 2009, the Board and Dr. Hayes entered into an
Agreed Order requiring that he obtain 20 hours of continuing medical education
in pre-operative, operative and post-operative aspects of obstetric and
gynecological surgery, including post-operative gynecological complications,
and pay an administrative penalty of $2,000 within 90 days. The action was
based on Dr. Hayes’ failure to properly treat postoperative bleeding
complications in a hysterectomy patient.
Heitkamp, Jeffrey Wade, M.D., Lic. #F4064,
On December 12, 2008, the Board
and Dr. Heitkamp entered into a two-year Agreed Order requiring that Dr.
Heitkamp’s medical records be reviewed by a chart monitor and that he obtain
eight hours of continuing medical education in medical recordkeeping, eight
hours in risk management and eight hours in lumbar surgery complications and
outcomes. The action was based on Dr. Heitkamp’s failure to adequately document
history and examination that would justify surgical intervention in a patient
with back and leg pain, nor did he adequately document discussions of
alternatives to surgery.
Iglehart, Sharon L., M.D., Lic. #H4832,
On April 3, 2009, the Board and Dr. Iglehart entered into an
Agreed Order of public reprimand requiring the she have a practice monitor for
two years; that, within one year, she take and pass the Texas Medical
Jurisprudence Examination; and within one year complete the medical
recordkeeping course offered by the University of California San Diego
Physician Assessment and Clinical Education program. The action was based on
Dr. Iglehart’s recreating medical records for psychiatric patients significantly
later than the time she had provided examination, diagnosis and treatment to
the patients.
LeCompte, Brian Eric, M.D., Lic. #G9615,
On February 6, 2009, the Board and Dr. LeCompte entered into
a Mediated Agreed Order requiring that Dr. LeCompte complete the professional
boundaries course offered by
Nguyen, Thuan Trong, Lic. #J2237,
On February 6, 2009, the Board and Dr. Nguyen entered into
an Agreed Order requiring that within one year Dr. Nguyen complete 10 hours of
continuing medical education in risk management. The action was based on Dr.
Nguyen’s taking 70 days to notify a patient of the very serious nature of CT
and MRI results.
Nix, Darryl D., D.O., Lic. #F9883,
On April 3, 2009, the Board and Dr. Nix entered into an
Agreed Order requiring that, within one year, Dr. Nix obtain eight hours of
continuing medical education in ophthalmic emergencies/trauma. The action was
based on Dr. Nix’s failure to perform a complete eye examination on a patient
with an eye injury or, alternatively, refer the patient to an ophthalmologist.
Patel, Kanubhai A., M.D., Lic. #G4373,
On June 27, 2008, the Board and Dr. Patel entered into an
Agreed Order requiring Dr. Patel to complete a Board-approved educational
course in the areas of patient boundaries and communication and pay an
administrative penalty of $1,000. The action was based Dr. Patel’s having
administered a medical test requiring a female patient to expose her upper body
without a female chaperone present in the exam room.
Punjabi, Narendra S., M.D., Lic. #G7865, Austin
On December 12, 2008, the Board
and Dr. Punjabi entered into a one-year Agreed Order requiring that Dr.
Punjabi’s medical records be reviewed by a chart monitor; that he obtain 10
hours of continuing medical education in medical recordkeeping and 10 hours in
pharmacy rules and regulations for prescribing; and that he take and pass the
Texas Medical Jurisprudence Examination within three attempts. The action was
based Dr. Punjabi’s dispensing Phentermine to one patient and lack of records
including rationale for treatment, monitoring of vital signs or discussion of
possible side effects.
Reddy, Sunil K., M.D., Lic. #J4984,
On February 6, 2009, the Board and Dr. Reddy entered into an
Agreed Order requiring that within one year Dr. Reddy obtain eight hours of
continuing medical education in medical recordkeeping and within 90 days pay an
administrative penalty of $1,500. The action was based on Dr. Reddy’s failure
to properly document reasons for performing a colonoscopy on a 91-year-old
patient so quickly after the initial consult; not waiting for the results of
less risky treatment recommendations; not being as anxious to address the stone
visualized in the common bile duct as he was to treat a diagnosis of
constipation; and not using any screening labs such as CBC, stool guiac, prior
to the colonoscopy.
Redfield,
James Earl, M.D., Lic. #H2713, Nacogdoches TX
On December 12, 2008, the Board
and Dr. Redfield entered into a two-year Agreed Order of public reprimand
requiring that his surgical cases be reviewed by a chart monitor; that he
obtain 10 hours of continuing medical education in managing surgical
complications and 10 hours CME in post-operative management and care; and that
he pay an administrative penalty of $20,000 within 12 months. Dr. Redfield is
also ordered not to perform bariatric surgeries or elective surgeries on children
under 24 months. The action was based on Dr. Redfield’s failing to demonstrate
appropriate expertise and judgment in surgery on a three-month old infant’s
umbilical hernia, resulting in necrosis and ultimately the death of the infant;
failure to address multiple post-surgical complications in two gastric bypass
patients who died; and failure to meet the standard of care in treating
post-operative complications of a laparoscopic surgery on an incisional hernia
in a patient who also died.
Rivera, Antonio F., M.D., Lic. #M4475,
On April 3, 2009, the Board and Dr. Rivera entered into an
Agreed Order requiring that, within one year, he obtain 40 hours of continuing
medical education, including 20 hours in the management of pediatric
emergencies, 10 hours in the approach and management of seizures in infants and
children, and 10 hours in pediatric resuscitation. The action was based on Dr.
Rivera’s intubating an 18-month-old patient 48 minutes after paramedics had
sedated the child with Versed, which was not warranted at the time he performed
the intubation.
Rodriguez, Ricardo Mateo, M.D., Lic. #E8858,
On February 6, 2009, the Board and Dr. Rodriguez entered
into an Agreed Order requiring that within one year Dr. Rodriguez obtain 10
hours of continuing medical education in risk management and 10 hours in
medical recordkeeping and within 90 days pay an administrative penalty of
$1,000. The action was based on Dr. Rodriguez’s failure to properly document
x-ray findings and failure to properly diagnose a neck injury in a patient.
Rogoff, Thomas M., M.D., Lic. #E7724,
On April 3, 2009, the Board and Dr. Rogoff entered into an
Agreed Order requiring that he pay an administrative penalty of $1,000 within
90 days. The action was based on Dr. Rogoff’s delay in the performance of an
endoscopic procedure in a patient who required the removal of a piece of food
tightly impacted in her esophagus.
Ross, John M., M.D., Lic. #J7169,
On April 3, 2009, the Board and Dr. Ross entered into an
Agreed Order requiring that he pay an administrative penalty of $1,000 within
90 days. The action was based on Dr. Ross’ prescribing narcotics, pain
medications and other dangerous drugs to a family member.
Sitomer, Charles I., M.D., Lic. #G7341, Katy TX
On February 6, 2009, the Board and Dr. Sitomer entered into
an Agreed Order requiring that within one year Dr. Sitomer obtain 10 hours of
continuing medical education in medical recordkeeping; that within 60 days he
submit written office protocols for patient identification and verification and
procedure verification for in-office procedures. The action was based on Dr.
Sitomer’s performing a vasectomy on the wrong patient.
Vu, Tammy, M.D., Lic. #L9537,
On April 3, 2009, the Board and Dr. Vu entered into a
two-year Agreed Order requiring that, for each year of the order, Dr. Vu obtain
20 hours of continuing medical education in high-risk obstetrics and that she
pay an administrative penalty of $2,000 within 90 days. The action was based on
Dr. Vu’s failure to follow up on tests ordered and to review tests results for
an obstetrical patient whose ultrasound demonstrated intrauterine fetal growth
retardation and whose fetus ultimately expired.
Wells, Terry L., M.D., Lic. #J1587,
On April 3, 2009, the Board and Dr. Wells entered into an
Agreed Order requiring that she have a chart monitor for one year. The action
was based on Dr. Wells’ failure to properly treat and document care of a
diabetic patient over nine years.
Wallace,
Brent Holmes, M.D., Lic. #F2093, Cleburne TX
On December 12, 2008, the Board
and Dr. Wallace entered into a two-year Agreed Order requiring that Dr.
Wallace’s medical records be reviewed by a chart monitor; that he obtain an
auditor to provide a practice review; that he obtain 10 hours of continuing
medical education in medical recordkeeping and 10 hours in risk management; and
that he pay an administrative penalty of $5,000 within 180 days. The action was
based on Dr. Wallace’s failure to review documents of a colonoscopy and a
barium enema of an anemic patient who was ultimately diagnosed with metastatic
adenocarcinoma.
Ward, Phillip Andrew, D.O., Lic. #L6710,
On February 6, 2009, the Board and Dr. Ward entered into an
Agreed Order requiring that he have a practice monitor for one year and obtain
16 hours of continuing medical education in risk management, 16 hours of CME in
office-based procedures, and eight hours of CME in medical recordkeeping. The
action was based on his improper treatment of an ankle injury and his failure
to release records for the patient.
Wright, Mark Lee, M.D., Lic. # H4810,
On February 6, 2009, the Board and Dr. Wright entered into a
Mediated Modified Agreed Order of public reprimand requiring that he abstain
from prohibited substances; have a practice monitor for two years; continue
care and treatment of a psychiatrist; complete the Annual Advances in Internal
Medicine course offered by the University of California San Francisco; notify
the Board if he wishes to change his practice responsibilities; attend
Alcoholics Anonymous; obtain a mobile drug and formulary reference device; and
pay an administrative penalty of $5,000 within 300 days. The action was based
on Dr. Wright’s failure to meet the standard of care in treating seven patients
while impaired by alcohol in 2001 and 2002.
Zertuche, Benjamin S., M.D., Lic. #L2066,
On February 6, 2009, the Board and Dr. Zertuche entered into
a three-year Agreed Order requiring that, for any high-risk obstetric patients,
Dr. Zertuche obtain a consultation from a licensed Texas physician who is board
certified in obstetrics and gynecology; that for one year he have a chart
monitor with expertise in obstetrics; and that within one year he obtain 10
hours of continuing medical education in high-risk obstetrics. The action was
based on Dr. Zertuche’s failure to meet the standard of care in treatment of a
pre-term labor obstetrical patient who ultimately suffered placental abruption
and resulting fetal demise. The order was effective March 30, 2009.
UNPROFESSIONAL CONDUCT VIOLATIONS
Baird, Kenneth E., M.D., Lic. #H5658,
On April 3, 2009, the Board and Dr. Baird entered into an
Agreed Order requiring that, within one year, he complete the professional
boundaries course offered by Vanderbilt University or the University of
California San Diego Physician Assessment and Clinical Education program; that
for each of the next two years he obtain 10 hours of continuing medical
education in ethics; and that within 180 days he pay an administrative penalty
of $10,000. The action was based on Dr. Baird’s having had a sexual
relationship with a patient.
Campbell, Odette L., M.D., Lic. #H9609,
On April 3, 2009, the Board and Dr. Campbell entered into an
Agreed Order requiring that, within 60 days, she pay an administrative penalty
of $1,000. The action was based on her responsibility in securing a cabinet
from which 15 boxes of Fentanyl sublingual tablets were taken.
Davies, Dale Curtis, M.D., Lic. #K1409,
On February 6, 2009, the Board and Dr. Davies entered into a
Mediated Agreed Order requiring that Dr. Davies pay an administrative penalty
of $1,000 within 90 days. The action was based on Dr. Davies’ not appropriately
responding to a question on his license renewal registration regarding his
arrest for driving while intoxicated.
Facello, James Anthony, D.O., Lic. #K3723,
On February 6, 2009, the Board and Dr. Facello entered into
an Agreed Order of public reprimand requiring that Dr. Facello enroll in and
successfully complete the professional boundaries course offered by Vanderbilt
Medical Center for Professional Health or the similar course offered by the
University of California San Diego Physician Assessment and Clinical Education
(“PACE”) program; obtain an independent medical evaluation within 90 days;
remain in the care of a treating psychiatrist; and pay an administrative
penalty of $5,000 within 180 days. The action was based on Dr. Facello’s having
a consensual sexual relationship with a patient while continuing to treat and
prescribe to the patient.
Gomez, Minerva Pinon, M.D., Lic. #H3677,
On February 6, 2009, the Board and Dr. Gomez entered into a
three-year Agreed Order of public reprimand requiring that Dr. Gomez take and
pass the Texas Medical Jurisprudence Examination within one year; limit her
practice to a group or institutional setting; obtain 32 hours of continuing
medical education in family practice and 10 hours in medical recordkeeping
within one year; obtain 50 hours of Category I continuing medical education in
years two and three; and revise her physician profile to indicate that she is
not board certified. The action was based on Dr. Gomez’s operating an
unlicensed retail pharmacy, providing and/or charging patients for medications
from her office practice location.
Gross, Rickey L., M.D., Lic. #H1096,
On April 3, 2009, the Board and Dr. Gross entered into an
Agreed Order requiring that, within one year, Dr. Gross obtain 10 hours of
continuing medical education in risk management; take and pass the Texas
Medical Jurisprudence Examination; and pay an administrative penalty of $1,000
within 180 days. The action was based on Dr. Gross’ failure to respond to Board
requests for medical records and his failure to notify the Board of his change
of address.
Hamilton, Timothy T., M.D., Lic. #L2921,
On February 6, 2009, the Board and Dr. Hamilton entered into
an Agreed Order requiring that he pay an administrative penalty of $1,000
within 90 days. The action was based on Dr. Hamilton’s writing a prescription
for a co-worker in the name of someone he had never met or treated.
McLean, Paul Eugene, M.D., Lic.
#E2719,
On December 12, 2008, the Board and Dr. McLean entered into
an Agreed Order of public reprimand requiring that, within one year, Dr. McLean
take and pass the Texas Medical Jurisprudence Examination within three
attempts. The action was based on Dr. McLean’s making a false entry in a
medical record stating he saw an emergency room patient whom he did not see.
Isern, Reuben A., M.D., Lic. # E8585,
On February 6, 2009, the Board and Dr. Isern entered into an
Agreed Order requiring that within one year he obtain 30 hours of continuing
medical education in ethics or risk management and that he take and pass the
Texas Medical Jurisprudence Examination. The action was based on Dr. Isern’s
failure to provide medical records and failure to cooperate with Board staff.
Lloyd, Alan T., M.D., Lic. #J6160,
On February 6, 2009, the Board and Dr. Lloyd entered into an
Agreed Order of public reprimand requiring that, within one year, Dr. Lloyd
successfully complete either the professional boundaries course offered by the
Vanderbilt Center for Professional Health or the similar course offered by the
University of Southern California San Diego Physician Assessment and Clinical
Education course; take and pass the Texas Medical Jurisprudence Examination
within three attempts; and within 90 days pay an administrative penalty of $10,000.
The action was based on Dr. Lloyd’s having a sexual relationship with a patient
and inappropriately prescribing dangerous drugs or controlled substances to
that patient.
Okonji, Catherine Uchechukwu, M.D., Lic. #L7507,
On December 12,
2008, the Board and Dr. Okonji entered into an Agreed Order requiring that,
within one year, she take and pass the Texas Medical Jurisprudence Examination
within three attempts; that she obtain 10 hours of continuing medical education
in ethics; and that she pay an administrative penalty of $500. The action was
based on Dr. Okonji’s allowing a health care services company to use her
Medicare number fraudulently.
Price, Clinton C., M.D., Lic. #L4657,
On February 19, 2009, the Board and Dr. Price entered into
an Agreed Order requiring that within one year Dr. Price enroll in an anger
management course and a Prevention and Management of Aggressive Behavior course
and pay an administrative penalty of $500 within 180 days. The action was based
on Dr. Price’s striking an adolescent psychiatric patient who had spit on him
and kicked him.
Torres, Richard R., M.D., Lic. #K6943,
On April 3, 2009, the Board and Dr. Torres entered into an
Agreed Order requiring that, within 180 days, he take the anger management
course of the
Waller, Stephen Frank, M.D., Lic. #F8724,
On February 6, 2009, the Board and Dr. Waller entered into
an Agreed Order requiring that within one year Dr. Waller obtain 20 hours of
continuing medical education in medical recordkeeping; within one year he take
and pass the Texas Medical Jurisprudence Examination; and within 60 days he pay
an administrative penalty of $2,500. The action was based on Dr. Waller’s
failure to provide medical records in response to a Board subpoena and failure
to cooperate with a Board investigation.
VIOLATION
OF PROBATION OR PRIOR ORDER
Green, Demetris A., M.D., Lic. #J4168,
On April 3, 2009, the Board and Dr. Green entered into an
Agreed Order requiring that, within 30 days, he begin paying drug testing
company First Advantage at least $300 per month. All other provisions of his
August 16, 2002, Agreed Order remain in effect. The action was based on Dr.
Green’s violation of a 2007 modification order requiring him to pay his debt to
First Advantage down to zero by September 1, 2008.
King, Clarence G. Jr, M.D., Lic. #E1883,
On April 3, 2009, the Board and Dr. King entered into a
Mediated Agreed Order extending his June 6, 2006, Agreed Order for an
additional three years, to June 6, 2015, without opportunity to request early
termination. The action was based on Dr. King’s testing positive for a banned
substance in a drug screen.
Kornell, Bernard, M.D., Lic. #F2308,
On April 3, 2009, the
Board and Dr. Kornell entered into a Mediated Agreed Order by which his license
is revoked for 90 days, after which the revocation will be stayed and probated;
that within 90 days Dr. Kornell
enroll in the University of California San Diego Physician Assessment and
Clinical Education program; and that within one year he take and pass the Texas
Medical Jurisprudence Examination. The action was based on Dr. Kornell’s
failure to implement practice improvements recommended by a chart monitor
required in his previous order.
Werner, Timothy H., D.O., Lic, #G4508,
On December, 12, 2008, the Board and Dr. Werner entered into
an Agreed Order of Suspension, suspending Dr. Werner’s medical license for at
least 12 months. The action was based on Dr. Werner’s failure to comply with
provisions of previous Board orders related to his impairment.
Williams, Michael D., D.O., Lic. #H2907,
On April 3, 2009, the Board and Dr. Williams entered into a
two-year Mediated Agreed Order requiring that he pay outstanding billing owed
to his chart monitor; that he limit procedures in his office or performed on an
outpatient basis to those requiring only local anesthesia and no IV anesthesia;
that he not perform surgical cosmetic procedures until he has completed a
surgical resident training program approved by the American College of Graduate
Medical Education; that he obtain at least 10 hours of continuing medical
education in management of outpatient sedation and anesthetic drugs, at least
20 hours in any combination of medical recordkeeping, professional boundaries
and medical ethics with at least five hours taken in each category; that he
maintain adequate medical records and continue to have a chart monitor. The
action was based on Dr. Williams’ noncompliance with a February 3, 2006, Agreed
Order.
ACTIONS
BASED ON ACTION BY ANOTHER STATE OR ENTITY
Alhassan, Abdul-Aziz, M.D., Lic. #K6794,
On April 3, 2009, the Board and Dr. Alhassan entered into a
five-year Agreed Order requiring a chart monitor
and requiring Dr. Alhassan to obtain 10 hours of continuing medical education
in recognizing, diagnosing and treating substance abuse. The action was
based on Dr. Alhassan’s entering into a Consent Order with the Louisiana Board
of Medicine based on allegations of nontherapeutic prescribing.
Bafitis, Harold, D.O., Lic. #F9155,
On December 12, 2008, the Board and Dr. Bafitis entered into
an Agreed Order requiring that he take 10 hours of continuing medical education
in ethics and pay an administrative penalty of $1,000 within 60 days. The
action was based on action by the Florida Board of Osteopathic Medicine because
of Dr. Bafitis’ using on himself and giving to staff members unapproved
botulinum neurotoxin type A.
Bernauer, Robert Dale, M.D., Lic. #E2465,
On December 12, 2008, the Board and Dr. Bernauer entered in
an Agreed Order of Voluntary Surrender in which Dr. Bernauer permanently and
voluntarily surrendered his
Estlund, Gregory John, M.D., Lic. #E4322, Baldwin WI
On December 12, 2008, the Board and Dr. Estlund entered in
an Agreed Order requiring that he comply with any terms and conditions imposed
by the Medical Examining Board of the state of Wisconsin. The action was based
on a reprimand by the Wisconsin Medical Examining Board for Dr. Estlund’s
failing to meet the standard of care in the treatment of a patient in a VA
hospital in
Gilmore, Kathleen Mary, M.D., Lic. #M4094,
On February 6, 2009, the Board and Dr. Gilmore entered into
an Agreed Order requiring that Dr. Gilmore pay an administrative penalty of
$1,000. The action was based on the Illinois Department of Financial and
Professional Regulation’s action against Dr. Gilmore for allowing a
prescription to be issued under her name to a patient she did not see.
Hyman, Miles D., M.D., Lic. #D0920,
On April 3, 2009, the Board and Dr. Hyman entered into an
Agreed Order requiring that, within one month, Dr. Hyman request in writing
that the North Carolina Medical Board provide a report regarding his compliance
with the terms of a 2008 Consent Order. The action was based on action by the
North Carolina Medical Board.
Kobs, Darcey Gus Jr., M.D., Lic. #D2565,
On February 6, 2009, the Board and Dr. Kobs entered into an
Agreed Order of voluntary surrender. The action was based on action by the
Mississippi State Board of Medical Licensure.
Liu, James H., M.D., Lic. #K0898,
On April 3, 2009, the Board and Dr. Liu entered into an
Agreed Order of public reprimand requiring that, within 30 days, he pay an
administrative penalty of $1,000 and that he provide written notice to the
Board 90 days beforehand if he decides to return to Texas to practice.
Newman, Robert C., M.D., Lic. #G6979,
On April 3, 2009, the Board and Dr. Newman entered into an
Agreed Order requiring that, within 60 days, he pay an administrative penalty of
$1,000. The action was based on action by the Florida Department of Health
after he failed to remove a portion of a stent during a nephrectomy, resulting
in the patient’s second surgery. The problem was recognized while the patient
was in the recovery room, and it was immediately addressed.
Rea, Gary Lynn, M.D., Lic. #E6576,
On February 6, 2009, the Board and Dr. Rea entered into an
Agreed Order requiring him to pay an administrative penalty of $1,000 within 90
days. The action was based on action taken by the North Carolina Board based on
a malpractice settlement in
Starkey, Thomas David, M.D., Lic. #G3814,
On March 9, 2009, the Board and Dr. Starkey entered
into an Agreed Order of indefinite term which requires that Dr. Starkey not
practice medicine in
Thompson, Marcel D., D.O., Lic. #L7220, Round
On April 3, 2009, the Board and Dr. Thompson entered into an
Agreed Order requiring that within one year he take the professional boundaries
course of the
INADEQUATE
MEDICAL RECORDS
Allen, Joe Daniel M.D., Lic. #C8879, Port
On December 12, 2008, the Board and Dr. Allen entered into
an Agreed Order requiring that, within one year, Dr. Allen obtain eight hours
of continuing medical education in medical recordkeeping. The action was based
on his medical records being illegible and inadequate for one patient.
Badea-Mic, Daniela, M.D., Lic. #J6863,
On February 6, 2009, the Board and Dr. Badea-Mic entered
into an Agreed Order requiring that Dr. Badea-Mic obtain eight hours of
continuing medical education in medical record-keeping and eight hours of CME
in diagnosing psychiatric disorders. The action was based on Dr. Badea-Mic’s
failure to properly document diagnoses and her medical reasoning for the drugs
and dosages she prescribed for three psychiatric patients.
Blackwell, Michael Lee, M.D., Lic. #J3695,
On December 12, 2008, the Board and Dr. Blackwell
entered into an Agreed Order requiring that Dr. Blackwell obtain five hours of
continuing medical education in medical recordkeeping and five hours in risk
management within one year and pay an administrative penalty of $1,000. The
action was based on Dr. Blackwell’s failure to provide adequate documentation
in support of treatments and procedures provided to one surgery patient.
Beasley, George M., D.O., Lic. #H7882,
On December 12, 2008, the Board and Dr. Beasley entered into
a Mediated Agreed Order requiring that Dr. Beasley’s medical records be
reviewed by a chart monitor for six months and that he pay an administrative
penalty of $500. The action was based on Dr. Beasley’s failure to provide
adequate documentation of the history and examination of one patient.
Callahan, Robert G., M.D., Lic. #K8046,
On April 3, 2009, the Board and Dr. Callahan entered into an
Agreed Order requiring that, within one year, he obtain 10 hours each of
continuing medical education in physician-patient communication and medical
recordkeeping. The action was based on poor documentation and communications
regarding treatment of several members of a family injured in an automobile
accident.
Crouch, Mark C., D.O., Lic. #H6139,
On February 6, 2009, the Board and Dr. Crouch entered into
an Agreed Order requiring that he have a practice monitor for six month; obtain
10 hours of continuing medical education in risk management and 10 hours in
medical recordkeeping within one year; and pay an administrative penalty of
$1,000 within 60 days. The action was based on Dr. Crouch’s failure to have
proper documentation to support his prescribing a diuretic to, and discussing
the risks of low potassium levels as a possible side effect of diuretic use
with, a weight management patient.
Crowder, Janice R., M.D., Lic. #H9059, Webster TX
On April 3, 2009, the Board and Dr. Crowder entered into a
one-year Agreed Order requiring that she maintain accurate and adequate medical
records; that her practice be monitored for one year; and that she obtain five
hours of continuing medical education in ethics and 10 hours in medical
recordkeeping. The action was based on her incomplete and untimely medical
records and her suspension from one hospital because of her delinquent records.
Fontenot, William Lindsey, M.D., Lic. # L0176,
On December 12, 2008, the Board
and Dr. Fontenot entered into an Agreed Order requiring that Dr. Fontenot pay a
$5,000 administrative penalty. The action was based on Dr. Fontenot’s failure
to maintain adequate medical records.
Geralde, Renato A., D.O., Lic. #M0728,
On April 3, 2009, the Board and Dr. Geralde entered into an
Agreed Order requiring that, within one year, Dr. Geralde obtain 10 hours of
continuing medical education in medical recordkeeping. The action was based on
medical records that were inadequate regarding documentation of patient
evaluations and treatment for allergic rhinitis in two patients.
Hinshaw, Luke Ruch, M.D., Lic. #L8077,
On December 12, 2008, the Board and Dr. Hinshaw entered into
an Agreed Order requiring that, within one year, Dr. Hinshaw obtain 10 hours of
continuing medical education in medical recordkeeping. The action was based on
Dr. Hinshaw’s failure to properly document a hospital patient’s physical,
history, synopsis of stay, review of diagnostics and care, discharge medications
or discharge summary.
Khan, Rashid, M.D., Lic. #K4470,
On April 3, 2009, the Board and Dr. Khan entered into an
Agreed Order requiring that, within one year, Dr. Khan obtain 10 hours of
continuing medical education in medical recordkeeping. The action was based on
Dr. Khan’s failure to document an abdominal examination and a cervical spine
x-ray in a patient who had been in an auto accident.
Leytham, Thomas J., M.D., Lic. #J9161,
On April 3, 2009, the Board and Dr. Leytham entered into an
Agreed Order requiring that, within one year, he obtain 10 hours of continuing
medical education in psychiatric evaluations for the family practitioner and
five hours of CME in medical recordkeeping. The action was based on Dr.
Leytham’s failure to document histories, physicals, follow-ups, diagnoses,
treatment plans and justification for use of pain medicines and other drugs.
Nolen, Ann H., D.O., Lic. #G1494,
On April 3, 2009, the Board and Dr. Nolen entered into an
Agreed Order requiring that she have a practice monitor for one year; that
within one year she obtain 15 hours of continuing medical education in medical
recordkeeping; and that within 60 days she pay an administrative penalty of
$500. The action was based on insufficient office records, proper evaluation,
physical examination, cranial nerve examination, history, diagnosis, imaging
studies, or consideration of alternative treatments relating to headaches for
which a patient required long-term daily Bupap therapy.
Pallares, Victor, M.D., Lic. #J3867,
On April 3, 2009, the Board and Dr. Pallares entered into a
Mediated Agreed Order requiring that, within one year, he obtain 10 hours each
of continuing medical education in risk management/ethics, treatment of chronic
pain, and medical recordkeeping; and that within 180 days he pay an
administrative penalty of $5,000. The action was based on inadequate
documentation of multiple injections administered for pain treatment.
Pittard, Carlton D., M.D., Lic. #C6476,
On April 3, 2009, the Board and Dr. Pittard entered into an
Agreed Order requiring that, within one year, Dr. Pittard obtain eight hours of
continuing medical education in medical recordkeeping and that he pay an
administrative penalty of $500 within 60 days. The action was based on
inadequate medical records regarding increasing the dose of Adderall prescribed
for a patient.
Snow, Robert Glenn, D.O., Lic. #H8420,
On February 6, 2009, the Board and Dr. Snow entered into an
Agreed Order requiring that Dr. Snow attend the
Trester, Elliot J., M.D., Lic.
#F3364,
On December 12, 2008, the Board
and Dr. Trester entered into a one-year Agreed Order requiring that, within one
year, Dr. Trester obtain 10 hours of continuing medical education in risk
management and 10 hours CME in medical recordkeeping. The action was based on
Dr. Trester’s failure to adequately document oxygen saturation levels and
discussion of options for treatment for a patient with chronic obstructive
pulmonary disease and respiratory failure.
Yusuf, Qaiser Jamal, M.D., Lic. #J1818,
On February 6, 2009, the Board and Dr. Yusuf entered into an
Agreed Order requiring that he pay an administrative penalty of $2,000 within
60 days, while keeping all provisions of his December 8, 2008, Agreed Order.
The action was based on Dr. Yusuf’s failure to document justification for EMGs
on one patient.
Zarcone, Gregory S., D.O., Lic. #L8252,
On April 3, 2009, the Board and Dr. Zarcone entered into an
Agreed Order requiring that, within one year, he obtain eight hours each of
continuing medical education in management of chronic pain and medical
recordkeeping. The action was based on Dr. Zarcone’s prescribing excessive
amounts of pain medication without adequate review of previous records and
treatment and on his failure to adequately track quantities of narcotics he was
prescribing.
IMPAIRMENT DUE TO
ALCOHOL OR DRUGS OR MENTAL/PHYSICAL CONDITION
Borders, Rebecca, M.D., Permit #BP10023545,
On December 12, 2008, the Board and Dr. Borders entered into
a one-year Agreed Order requiring that she abstain from prohibited substances;
be subject to random alcohol and drug screens; and continue to see her treating
psychiatrist. The action was based on Dr. Borders’ intemperate use of drugs and
alcohol.
Bowers, Robert M., M.D., Lic. #H9808,
On April 3, 2009, the Board and Dr. Bowers entered into a
15-year Agreed Order requiring that Dr. Bowers abstain from consuming
prohibited substances and participate in the Board’s drug-testing program. The
action as based on his abuse of hydrocodone and other drugs.
Coleman, Brent J., D.O., Lic, #G3241, Laguna Vista TX
On January 21, 2009, after notice and hearing, the Board
entered an Automatic Suspension Order for an indefinite period against Brent J.
Coleman, D.O., for violations of a 2008 Agreed Order, which required, among
other provisions, that Dr. Coleman submit to random alcohol and drug screenings
to ensure abstinence. The immediate suspension of Dr. Coleman’s license was
based on his violation of the 2008 order as evidenced by positive tests, some
of which were at extremely high levels, for EtG (an alcohol metabolite) on
eight occasions within an approximate six-week period from December 2008
through early January 2009.
ADVERTISING VIOLATION
Carter, Richard Alan, D.O., Lic. #G6913,
On February 6, 2009, the Board and Dr. Carter entered into
an Agreed Order requiring that Dr. Carter revise and clarify his advertising to
remove false, misleading, unsubstantiated or exaggerated claims, and pay an
administrative penalty of $5,000. The action was based on Dr. Carter’s
deceptive advertisements for a weight-loss product and claims that he is
“America’s weight-loss doctor” and one of the most “successful bariatric
surgeons in the nation.”
NONTHERAPEUTIC
PRESCRIBING
Anderson, Charles P., M.D., Lic. #E1801,
On April 3, 2009, the Board and Dr. Anderson entered into an
Agreed Order requiring that he have a practice monitor for three years;
prohibiting him from prescribing drugs with potential for abuse unless
medically indicated; requiring that he obtain five hours of continuing medical
education in medical recordkeeping and 10 hours of CME in pain management; that
he take and pass the Texas Medical Jurisprudence Examination; and that he pay
an administrative penalty of $1,000 within 180 days. The action was based on
his lack of adequate medical records and overlooking indications of
drug-seeking behavior in a patient.
Gibson, Donald, II, M.D., Lic. #H5209,
On November 18, 2008, the Board and Dr. Gibson entered into
a five-year Agreed Order of public reprimand that required Dr. Gibson to
surrender DEA and DPS prescribing certifications for Schedule II and III
controlled substances, become educated on all federal and state laws for
prescribing controlled substances and dangerous drugs, have his medical records
reviewed by a chart monitor and, for each year of the order, obtain 10 hours of
continuing medical education in medical recordkeeping and 10 hours of CME in
ethics. The action was based on Dr. Gibson’s nontherapeutic prescribing and
inadequate medical record documentation in four patient cases.
Bui, Tony T., M.D., Lic. #K2314,
On April 3, 2009, the Board and Dr. Bui entered into an
Agreed Order requiring that, within one year, Dr. Bui take and pass the Texas
Medical Jurisprudence Examination; within two years he take 10 hours of
continuing medical education in ethics; that he have a practice monitor for two
years; and that he pay an administrative penalty of $4,000 by September 15. The
action was based on Dr. Bui’s prescribing Jinotropin, a non-FDA approved human
growth hormone, and on a disputed positive drug screen while Dr. Bui was under
a previous Agreed Order.
Esparza, Gina M., M.D., Lic. #L2237,
On April 3, 2009, the Board and Dr. Esparza entered into an
Agreed Order requiring that, within one year, she complete five hours of
continuing medical education in medical recordkeeping at the University of
California San Diego Physician Assessment and Clinical Education program and 10
hours of the PACE professional boundaries CME.
The action was based on Dr. Esparza’s prescribing anabolic steroids and
other controlled substances to a patient with whom she was in a personal
relationship.
Kloeris, Steven P., M.D., Lic. #F6828, Webster TX
On April 3, 2009, the Board and Dr. Kloeris entered into a
three-year Agreed Order of public reprimand requiring that his practice be
monitored; that within one year he obtain 24 hours of continuing medical
education, including at least eight hours each in medical recordkeeping, pain
management and risk management; and that he pay an administrative penalty of
$15,000 within 60 days. The action was based on his failure to meet the
standard of care with regard to pain management prescribing for three patients.
McCall, Norman J., M.D., Lic. #E6137,
On April 3, 2009, the Board and Dr. McCall entered into an
Agreed Order requiring that, within 30 days, he submit names of treating
psychiatrists for himself and begin recommended care and treatment within 60
days after approval of a treating psychiatrist; surrender his DPS and DEA
controlled substances registration for five years; and not treat his immediate
family members or prescribe dangerous drugs or controlled substances with
addictive potential to his immediate family. The action was based on Dr.
McCall’s fraudulently prescribing controlled substances for a family member without
legitimate medical purpose.
Shaughnessy, Dennis M., M.D., Lic. #F7913,
On April 3, 2009, the Board and Dr. Shaughnessy entered into
an Agreed Order of public reprimand restricting him from supervising or
delegating to physician assistants or advanced practice nurses or supervising a
surgical assistant; prohibiting him from treating chronic pain patients;
requiring that he surrender his DEA and DPS controlled substances registration;
provide a copy of the order to any employer; and pay an administrative penalty
of $5,000 within 180 days. The action was based on Dr. Shaughnessy’s
nontherapeutic prescribing of Lortab, methadone, Soma, Oxycontin and other
drugs to multiple patients.
Watkins, Ulysses Wesby, M.D., Lic. #F8727,
On December 12, 2008, the Board and Dr. Watkins entered into
a three-year Agreed Order of public reprimand requiring that Dr. Watkins’
medical records be reviewed by a chart monitor and that, within one year, he
take and pass the Texas Medical Jurisprudence Examination within three
attempts. The action was based on Dr. Watkins’ failure to comply with Board
rules relating to pain management practice; nontherapeutic prescribing; a
repeated practice of improperly prescribing for persons who he should have
known were abusers of such drugs; and a pattern of prescribing such drugs
without first establishing a proper professional relationship with the
patients.
PEER REVIEW ACTIONS
Rodriguez-Salinas, Filiberto, M.D., Lic. #G4201,
On April 3, 2009, the Board and Dr. Rodriguez-Salinas
entered into an Agreed Order requiring that within 60 days he write a letter of
apology to “C.M.”; that within one year he take the anger management course of
the University of California San Diego Physician Assessment and Clinical Education
program; that he notify the Board of any complaint against him about his
behavior at any hospital where he has privileges; and that within 90 days he
pay an administrative penalty of $5,000. The action was based on his disruptive
behavior toward hospital personnel.
On April 3, 2009, the Board and Dr. Santos entered into an
Agreed Order requiring that, within one year, he obtain 10 hours of continuing
medical education in risk management and 10 hours CME in managing surgical
complications; and pay an administrative penalty of $1,000 within 60 days. The
action was based on Methodist Health System’s decision not to renew his
clinical privileges.
FAILURE TO PROPERLY
SUPERVISE OR DELEGATE
Blais, Robert E., M.D., Lic. #J5080,
On April 3, 2009, the Board and Dr. Blais entered into an
Agreed Order requiring that, within one year, he take and pass the Texas
Medical Jurisprudence Examination and that he pay an administrative penalty of
$3,000 within 90 days. The action was based on Dr. Blais’ failure to adequately
supervise clinical staff of a laser tattoo removal business acting under his
supervision.
De Hoyos, Julia, D.O., Lic. #K5088,
On December 12, 2008, the Board and Dr. De Hoyos entered
into an Agreed Order requiring that, within one year, she take and pass the
Texas Medical Jurisprudence Examination within three attempts and that she pay
an administrative penalty of $1,000. The action was based on Dr. De Hoyos’
hiring and use of a consultant and a physician who was not licensed in
Meyerrose, Gary Eugene, M.D., Lic. #J4921,
On December 12, 2008, the Board and Dr. Meyerrose entered
into an Agreed Order requiring him to pay a $1,000 administrative penalty
within 90 days. The action was based on his signing blank records when he was
aware that a cardiology fellow under his supervision had failed to complete
patient rounds diagnosis records in a timely fashion, and allowing the fellow
to submit them after Dr. Meyerrose signed them.
CRIMINAL CONVICTIONS
De Carvalho, Guaracy, M.D., Lic. #E3677,
On April 3, 2009, the Board and Dr. De Carvalho entered into
an Agreed Order revoking Dr. Carvalho’s
Maynard, Daniel, D.O., Lic. #E1669,
On April 3, 2009, the Board entered a final order revoking
Dr. Maynard’s license. The action was based on his plea of no contest to a
second-degree felony of delivery of a prescription or a prescription form
without a valid medical purpose. The physician may file a motion for rehearing
within 20 days of the order. If a motion is filed and the Board denies the
motion, the order is final. If a motion for rehearing is filed and the Board
grants the motion, the order is not final and a hearing will be scheduled.
Patel, Jayshree H., M.D., Lic. #F6300,
On April 3, 2009, the Board and Dr. Patel entered into an
Agreed Order of voluntary revocation of her
Tschen, Luis Fernando, M.D., Lic. #K7405,
On December 12, 2008, the Board and Dr. Tschen’s entered
into an Agreed Order revoking Dr. Tschen’s license, staying the revocation and
placing him on probation for 10 years. In addition, the order requires that he
abstain from prohibited substances; submit to the Board’s drug and alcohol testing
program; receive care from a treating psychiatrist; continue receiving care
from his treating psychologist; pay his outstanding drug-testing balance; limit
his practice to an in-office group practice with his current group; not treat
his immediate family; surrender his DPS and DEA controlled substance permits;
participate in Alcoholics Anonymous; and not delegate prescriptive authority to
mid-level practitioners. In addition, a practice partner must submit monthly
progress reports during the first six months of the order. The action was based
on Dr. Tschen’s plea of no contest to a felony aggravated assault with a deadly
weapon charge for which he received six years of deferred adjudication stemming
from his May 2007 arrest for assaulting his wife with a knife.
Van Wormer, Mark Edward, M.D., Lic. #H5986, Clayton NM
On February 6, 2009, the Board issued a Final Order revoking
Dr. Van Wormer’s license. The action was based on findings by an Administrative
Law Judge at the State Office of Administrative Hearings that Dr. Van Wormer
was found guilty of a felony, misbranding a drug, and he was incarcerated in a
federal correction facility. Dr. Van Wormer had 20 days to file a Motion for
Rehearing. He did not file a Motion for Rehearing. Therefore, the order is final
and Dr. Van Wormer’s license is revoked effective March 3, 2009.
Winkler, David C., M.D., Lic. #L3876,
On April 3, 2009, the Board and Dr. Winkler entered into an
Agreed Order of voluntary surrender of his
REVOCATIONS/SURRENDERS
Crandall, Dora Busby,
M.D., Lic. #G5884,
On February 6, 2009, the Board and Dr. Crandall entered into
an Agreed Order of voluntary surrender of her license. The action was based on
Dr. Crandall’s desire to avoid further investigations, hearings, and the
expense and inconvenience of litigation.
Henderson, Harold C., M.D., Lic. #G3937,
On April 3, 2009, the Board and Dr. Henderson entered into
an Agreed Order of voluntary revocation of Dr. Henderson’s
Hoyt, Thomas Alan, M.D., Lic. #G7234,
On December 12, 2008, the Board and Dr. Hoyt entered into an
Agreed Order of Voluntary Surrender in lieu of further disciplinary proceedings
related to his failure to obtain required continuing medical education.
McIntosh, Alice. M., D.O., Lic. #H2071,
On April 3, 2009, the Board and Dr. McIntosh entered into an
Agreed Order of voluntary surrender of her medical license. The action was
based on her surrendering her DPS controlled substance registration, her
physical impairment and her wish to no longer practice medicine.
Perez-Rodriguez, Enrique Rafael, Lic. #K2172,
On April 3, 2009, the Board entered a Default Order against
Dr. Perez-Rodriguez, revoking his license. Dr. Perez-Rodriguez had been placed
on drug-related felony deferred adjudication in 2006, but failed to timely
notify the Board as required. After Dr. Perez-Rodriguez notified the Board in
2008, the Board inquired for further information, but he also failed to notify
the Board of a change in his practice address as required, and the request was
undeliverable. The Board also learned Dr. Perez-Rodriguez missed his deferred
adjudication appearances from July through September 2007. The Board then filed
a Complaint with the State Office of Administrative Hearings. All facts alleged
in the complaint were therefore deemed admitted, and Dr. Perez-Rodriguez’s
medical license was revoked by default order.
Pope, Donald Delmer, M.D., Lic. #F4386,
On February 6, 2009, the Board and Dr. Pope entered into an Agreed
Order of voluntary revocation of Dr. Pope’s license. The action was based on
Dr. Pope’s plea of guilty to felony charges of aggravated sexual assault of a
child.
Rao, Narasimha S., M.D., Lic. #E7716,
On February 6, 2009, the Board and Dr. Rao entered into an
Agreed Order of voluntary surrender of his
Shanti, Ihsan, M.D., Lic. #K4562,
On December 12, 2008, the Board and Dr. Shanti entered into
a five-year Agreed Order of Surrender. The action was based on Dr. Shanti’s
deception and fraud in his medical billing practices and his related entry of
guilty pleas, and placement on deferred adjudication, for criminal charges
stemming from these practices.
Shin, James Young-Jin, M.D., Lic. #J0794, Fort Worth TX
On December 12, 2008, the Board and Dr. Shin entered into an
Agreed Order of Voluntary Surrender. The action was based on Dr. Shin’s plea
agreement with federal prosecutors related to possession of child pornography.
Wheeler, Douglas Wayne, M.D., Lic. #F8731, Glenmora LA
On February 6, 2009, the Board and Dr. Wheeler entered into
an Agreed Order in which he permanently and voluntarily surrendered his
TEMPORARY ACTIONS
Anderson, Eli T., M.D., Lic. #E6214,
On November 14, 2008, a Disciplinary Panel of the Board
entered a Temporary Suspension Order With Notice of Hearing against Dr.
Anderson’s medical license. The action was based on evidence that Dr. Anderson
tested positive for a cocaine metabolite in June, 2008, while undergoing drug
testing required as a condition of his placement on five years deferred
adjudication probation for possession of cocaine, a third degree felony, in
Clay County, Texas, in June, 2005. In 2007, Dr. Anderson was again arrested in
Henderson, Harold Clay, M.D., Lic. #G3937,
On October 27, 2008, a Disciplinary Panel of the Board
entered an Order of Temporary Suspension Without Notice of Hearing against Dr.
Henderson’s medical license. The action was based on evidence that Dr.
Henderson may be physically and/or mentally impaired as the result of a 1997
brain injury, that his medical condition has subsequently deteriorated, that he
has been self-prescribing dangerous drugs, and that he has been non-compliant
with recommended medical therapy. In addition, the Board also found evidence
that Dr. Henderson aided and abetted the practice of medicine by a physician he
employed after he knew the physician’s license was suspended by the Board.
McFarland, Bruce, M.D., Lic. #H3353,
On March 16, 2009, the Board entered an
Automatic Suspension Order against Dr. McFarland after determining that he had
violated a previous disciplinary order by testing positive for the consumption
of alcohol in late December 2008. The November 30, 2007, Agreed Order required,
among other provisions, that Dr. McFarland submit to random alcohol and drug
screenings to ensure abstinence from alcohol and other prohibited substances,
and provided that any violation could result in an automatic suspension of his
license. The automatic suspension will remain in effect until the Board takes
further action.
Perry, John Edward III, M.D., Lic. #L1430,
On December 9, 2008, a Disciplinary Panel of the Board
entered an Order of Temporary Restriction With Notice of Hearing against Dr.
Perry’s medical license. The action was based on violations on the standard of
care, nontherapeutic prescribing, prescribing to persons engaged in substance
abuse or diversion, and failing to adequately supervise the activities of
persons operating under his supervision. These findings were made as the result
of a criminal investigation involving patients who had obtained narcotics
prescriptions from clinics under Dr. Perry’s medical direction. The order
temporarily restricts Dr. Perry from prescribing any Schedule II or III
controlled substances and further restricts him from supervising or delegating
any prescriptive authority to physician assistants or advance practice nurses.
Pigott, Shirley, M.D., Lic. #F7054,
On March 24, 2009, the Board temporarily
suspended Dr. Pigott’s license. The action was based on Dr. Pigott’s failure to
comply with a previous Board order, unprofessional and dishonorable conduct, and
impaired mental status. The suspension remains in effect until the Board takes
further action.
Ramahi, Randy, D.O., Lic. #J4462,
On March 11, 2009, the Board suspended
Dr. Ramahi’s license without notice, and on March 23, 2009, the Board entered
an order of temporary suspension with notice. The actions were based on
evidence that Dr. Ramahi—who has a history of prescribing controlled substances
to himself and/or family members; being under psychiatric care for
addiction-related issues; and having been disciplined by the Board—had
prescribed narcotics for himself and/or family members in September 2008. In
January 2009, Dr. Ramahi again prescribed controlled substances for a family
member, and without a valid DEA or DPS certifications for prescribing such
drugs. The suspension remains in effect until the Board takes further action.
CONTINUING MEDICAL
EDUCATION VIOLATIONS
Campo, Jose, M.D., Lic. #E1524,
On February 6, 2009, the Board and Dr. Campo entered into an
Agreed Order requiring that he obtain all required continuing medical
education, including ethics, for the March 1, 2006, through February 28, 2008,
renewal period within 90 days. The action was based Dr. Campo’s failure to obtain required CME,
including two hours of ethics, during that period.
Guerra, Jose de Jesus, M.D., Lic. #C7622,
On December 12, 2008, the Board and Dr. Guerra
entered an Agreed Order requiring that, within 90 days, Dr. Guerra obtain 29
hours of continuing medical education, two of which must be in ethics. The
action was based on Dr. Guerra’s failure to complete required CME.
Gabier, Wendell, D.O., Lic. #D2006,
On December 12, 2008, the Board and Dr. Gabier
entered an Agreed Order requiring that, within 90 days, Dr. Guerra obtain two
hours of continuing medical education in ethics. The action was based on Dr.
Gabier’s failure to complete required CME.
ADMINISTRATIVE AGREED
ORDERS
Hammerick, John M., M.D., Lic. #D7073,
On April 3, 2009, the Board and Dr. Hammerick entered into
an Agreed Order requiring that, within 60 days, he pay an administrative
penalty of $1,000. The action was based on his failure to provide a patient
with contact information for the Board upon request, while instead providing
the number of the local county medical society, and his failure to display the
proper Texas Medical Board complaint procedure notification in his office as
required by law.
Hughes, Mark R., M.D., Lic. #H4426, Grosse Pointe MI
On December 12, 2008, the Board and Dr. Hughes
entered an Administrative Agreed Order requiring that Dr. Hughes pay a $2,500
administrative penalty. The action was based on Dr. Hughes’ failing to provide
the Board with documentation to show completion of the continuing medical
education when the Board requested the information for the period June 2005
through May 2006.
Mickish, Alan Bart, M.D., Lic. #E1059,
On December 12, 2008, the Board and Dr. Mickish
entered an Administrative Agreed Order requiring that Dr. Mickish pay a $1,000
administrative penalty. The action was based on Dr. Mickish’s failure to
properly supervise office staff who did not make a correction to a called-in
prescription upon request of a patient.
VIOLATION OF A BOARD
RULE
Pandya, Rajanikant P., M.D., Lic. #J7619,
On April 3, 2009, the
Board and Dr. Pandya entered into a one-year Agreed Order in which Dr. Pandya
will have a practice monitor. The action was based on Dr. Pandya’s providing
free samples of hydrocodone to a new patient in quantities beyond the
patient’s immediate needs. Dr. Pandya purchased and repackaged the hydrocodone;
it was not provided to him free of charge nor prepackaged by the original
manufacturer. Dr. Pandya is not authorized to operate a pharmacy in
MODIFICATIONS TO
PREVIOUS ORDERS
Boyles, Rick Allen, M.D., Lic. #J6345,
On February 6, 2009, the Board and Dr. Boyles entered into
an Agreed Order requiring that he remain in the Board’s drug-testing program
until August 25, 2016; abstain from consuming all prohibited substances;
continue to participate in Alcoholics Anonymous and Narcotics Anonymous; not
treat his immediate family or prescribe drugs with addictive potential to
himself or family members. In addition, the order lays out conditions for his
possession and prescribing of dangerous drugs and controlled substances. He is
allowed to practice outside an institutional setting but must notify the Board
of any change in practice setting; he may delegate to a surgical assistant,
physician assistant or advanced practice nurse. The action was based on his
compliance with a previous order and his need to change practice setting.
Cartwright, Gregory Bryan, M.D., Lic. #H7544,
On December 12, 2008, the Board and Dr. Cartwright entered
into an Agreed Order modifying a previous order to allow Dr. Cartwright to see
his treating psychiatrist no less than twice a month, and after six months he
may reduce the frequency to once a month. The action was based on his
compliance with a 2004 order.
Loya, Juan Francisco, M.D., Lic. #J4309,
On December 12, 2008, the Board and Dr. Loya entered into a
Modified Agreed Order modifying a previous order to allow Dr. Loya to reapply
for his DEA and DPS controlled substances registration. The action was based on
his compliance with a 2004 order.
Rhodes, Ernesto Philip, M.D., Lic. #J3886,
On February 6, 2009, the
Board and Dr. Rhodes entered into a Mediated Agreed Order modifying prior order
staying Dr. Rhodes’ automatic suspension order of January 15, 2008, and extending
his Agreed Order of August 13, 2004, 15 years from the date of this order;
requiring that he obtain 10 hours of continuing medical education in obstetrics
and gynecology within 90 days; observe gynecological surgery once a week for a
period of 90 days; receive an independent medical evaluation by a board
certified psychiatrist who is also an addictionologist; abstain from
consumption of prohibited substances; participate in the Board’s drug-testing
program; and pay an administrative penalty of $1,000 within 180 days. The
action was based on his compliance with the terms of his temporary suspension
order.
Ruggiero, Michael F., D.O., Lic. #H9144,
On December 12, 2008, the Board and Dr. Ruggiero entered
into an Agreed Order Modifying Prior Order changing the amount of continuing
medical education to a total of 45 hours, including 15 hours in medical
recordkeeping, 15 hours in risk management and 15 hours in pain management. The
action was based on Dr. Ruggiero’s difficulty in finding sufficient CME to
satisfy requirements of the prior order.
Sauceda, Francisco B., M.D., Lic. #H8375,
On April 3, 2009, the Board and Dr. Sauceda entered into an
Agreed Order allowing Dr. Sauceda to reapply for DEA and DPS controlled
substances registration and requiring that he maintain a logbook of all
dangerous drugs and controlled substances that he prescribes. The action was
based on Dr. Sauceda’s employment in a rural, federally funded clinic, and his
being able to bill Medicare and receive drug samples would be a benefit to
patients and the public.
White, Stephen, M.D., Lic. #L3183,
On December 12, 2008, the Board and Dr. White entered into a
Modified Agreed Order staying his suspension and placing him on probation for
15 years under certain terms and conditions, including the following: that he
limit his practice to a residency or mini-residency; abstain for consuming
prohibited substances; participate in the Board’s drug-testing program;
continue participation in Alcoholics Anonymous and Narcotics Anonymous; see a
treating psychiatrist no less than once a month; and not treat himself or his
immediate family. The action was based on an Agreed Order entered by the Board
August 29, 2008, allowing Dr. White to request that his suspension be stayed or
lifted if he provided evidence that he is physically and mentally competent to
practice.
Tran, Hoa Dinh, M.D., Lic. #G6034,
On December 12, 2008, the Board and Dr. Tran entered into an
Order Granting Modification of Agreed Order limiting Dr. Tran’s medical
practice of ophthalmology to a group or an institutional setting and requiring
that his medical records be reviewed by a chart monitor. The action clarified
provisions of an order entered April 11, 2008.
REINSTATEMENT AFTER
TERMINATION
Golden, Mitchell K., M.D., Lic. #H7151,
On April 3, 2009, the Board and Dr. Golden entered into an
Agreed Order requiring that, for an indefinite period, Dr. Golden not be
involved in practice that includes direct patient care or the prescription of drugs
and that he limit his practice to non-clinical administrative medicine; that he
surrender his DEA and DPS controlled substances registration certifications;
and that he not supervise physician assistants, advanced nurse practitioners or
surgical assistants. The action was based on Dr. Golden’s not having practiced
medicine since July 2005 because of a medical disability.
Twenty-nine
licensees agreed to enter into administrative orders with the Board for minimal
statutory violations.
CEASE AND DESIST
ORDERS
Baughman, Liz,
On
December 12, 2008, the Board and Ms. Baughman, who does not hold a current
license to practice medicine in
Yollo, Agnes V., M.D.,
Humble TX
On
February 6, 2009, the Board and Dr. Yollo, who does not hold any current
license to practice medicine or practice as a physician assistant in
SURGICAL
ASSISTANTS
Cassles, David
Dale, Lic. #SA00112
On February 6, 2009, the
Board and Mr. Cassles entered into an Agreed Order of voluntary surrender of
his surgical assistant’s license. The action was based on Mr. Cassles’ desire
to avoid further investigations, hearings, and the expense and inconvenience of
litigation.
Kellett, Richard, Lic.
#SA00126,
On April 3, 2009, the
Board and Mr. Kellett entered into an Agreed Order requiring that, within one
year, Mr. Kellett enroll in and successfully complete the