At its December 13, 2025, meeting, the Texas Medical Board disciplined 13 licensed physicians.
The disciplinary actions included: one related to impairment, three orders related to peer review or other states’ actions, four orders related to standard of care, one order related to unprofessional conduct, one voluntary surrender, one Mediated Settlement Agreed Order, and two Final Orders.
RULES CHANGES ADOPTED
CHAPTER 161. PHYSICIAN LICENSURE
The adopted new rules, §161.48, titled Physician Graduates, and new rule §161.53, titled Provisional License to Foreign Medical License Holders with Offers of Employment, are mandated by the passage of HB 2038 (89th Regular Legislative Session) which amended the Texas Occupations Code Chapter 155. HB 2038, known as the "DOCTOR Act," provides new pathways to licensing foreign trained physicians and medical school graduates who do not match into a resident training program.
RULES CHANGES PROPOSED
CHAPTER 173. PARENTERAL KETAMINE THERAPY
The proposed new rule concerning Chapter 173, Office-Based Anesthesia Services, Subchapter B, concerning Parenteral Ketamine Therapy, §§173.6-173.15, offers additional guidance and regulations regarding various therapeutic uses for low-dose ketamine.
DISCIPLINARY ACTIONS
Agreed Orders
Impairments:
Vela, Mario Jack, M.D., Lic. No. T0376, Laredo
Peer Review/Other States’ Actions:
Emer, Jason Joel, M.D., Lic. No. T4355, West Hollywood, CA
Paris, Christopher, M.D., Lic. No. S4542, Luling, LA
Yatsu, John Shigeru, M.D., Lic. No. G9020, Austin
Standard of Care:
Chamsuddin, Abbas Afif, M.D., Lic. No. S3500, Amarillo
Snook, Murray Alan, M.D., H8419, Georgetown
Unprofessional Conduct:
Lopez, Jesus Antonio, M.D., Lic. No. L1649, San Antonio
Voluntary Surrender:
August, Brian James, M.D., Lic. No. H9762, El Paso
Agreed Orders on Final Filing
Standards of Care:
De Jesus, Alex, M.D., Lic. No. H5866, San Antonio
Rosen, Joel David, M.D., Lic. No. H1197, San Antonio
Mediated Settlement Agreed Orders
Standards of Care:
Letsou, George Vasilios, M.D., Lic. No. J8298, Houston
Final Orders
Bowden, Mary Talley, M.D., Lic. No. K9770, Houston
Chapa, Maria Dolores, M.D., Lic. No. M5096, San Antonio
To view disciplinary orders and Board action history, visit the TMB website, click on "Look Up a License," accept the usage terms, then type in a licensee's name. Click on the name shown in the search results to view the licensee's full profile. Within that profile is a button that says, "Current Board Action.” All releases and bulletins are also available on the TMB website under About Us > Newsroom.
