The Texas Medical Board issues a full unrestricted medical license to qualified physicians to practice medicine in Texas. Applicants who do not qualify for a full medical license may qualify for a limited license or permit. 

Individuals considering applying for a full medical license should review the documents below for more information about eligibility, the application, and the required documentation and fees before submitting their applications. An application fee may be refunded under certain circumstances, however, other surcharges and fees assessed at the time of application are non-refundable. 

 

Uniform Application for Physician State Licensure

The Texas Medical Board offers applicants the ability to enter in their Uniform Application (UA) ID Number issued by the FSMB as part of the online application.

 

The UA, kept on file with the Federation of State Medical Boards (FSMB), will benefit physicians by reducing redundancy in filling out applications when applying for licensure in multiple states, thus increasing portability. The UA does not replace the TMB licensure application. You will still need to apply online through the TMB once you have completed the UA through the FSMB.

 

Helpful Documents

Texas has a two-stage application process – Pre-Licensure/Screening and Licensing. Both stages use the License Inquiry System of Texas (LIST) which is an online communication system for messages to and from the Board and physician applicants regarding application requirements.

 

Stage 1 - Pre-Licensure/Screening

  • You will be emailed your LIST username and password the first business day after you apply. If you need to change the license type for an application already submitted, please contact Board staff through the LIST portal to request an update. If you are unable to log in, please contact Board staff at (512) 305-7030 or at Screen-CIC@tmb.state.tx.us for assistance.

 

  • Submit the items listed under the Lacking Reasons tab in LIST. These items are generated based on your application. Applicants can upload certain lacking item documents required for their licensure application through their LIST account. This feature can be found under the “Forms” tab in LIST, along with details on the document formats that can be uploaded. Applicants should log into their LIST account and review each specific lacking item to determine which documents are acceptable by upload. Currently this option is limited to non-third party documents that are not required to be submitted directly to the Board. Standard processing times apply to uploaded documents and your LIST account will be updated once an item has been reviewed/accepted.

 

  • Check LIST frequently to track receipt of the items and submit questions one at time. Applicants who both call and submit LIST messages or submit multiple LIST messages when they don’t get an immediate response, delay staff response time and increase application processing time. All LIST questions will be answered by staff in the order received. Please allow 3-5 business days for a response.

 

During Pre-licensure/Screening, the documentation requested is based on the standard requirements for licensure and information provided with the application. Documents are not reviewed for content until you have been determined to be Screen Complete. Your application may be returned to screening if it is determined by a Pre-Licensure Quality Review Specialist that additional information is required before the application can be assigned to a licensing analyst. Completing Stage 1 (Pre-Licensure/Screening) does not mean you are eligible for licensure. Only after you complete Stage 2 (Licensing) are you determined to be ready for licensure.

 

Although the TMB is legislatively mandated to process all physician licensure applications within an average of 51 days, individual application processing time will vary based on the complexity of the application. The processing time clock begins when the applicant has submitted all initial documents and has moved to the Licensing Stage.

 

Stage 2 - Licensing

  • You’ve submitted all of the documents required for your application in Pre-Licensure/Screening.
  • Your application has been assigned to a licensing analyst.
  • Keep checking LIST. Your licensing analyst will post requests for additional items in the Lacking Reasons section.

 

Individual application processing time will vary based on the complexity of the application. Factors that increase the processing time may include, but are not limited to, answering “yes” to any of the Professionalism questions on the application or failing to follow instructions when submitting documentation. However, failing to answer application questions truthfully may be considered falsification of your application, will increase the processing time of your application, and could result in punitive action by the Board.

 

Application Complete

  • Congratulations! You are ready to be licensed.
  • A temporary license can be issued if you submit a Temporary License Affidavit form.
  • Licenses are issued approximately twice a month.
  • Register your license. You will receive a letter and an email within 2 weeks of being licensed, with registration instructions.

 

Helpful Documents

DayLicensing DateDate File Must be Completed*
Friday09/12/202509/05/2025
Friday09/26/202509/19/2025
Friday10/17/2025 (Board Meeting)10/10/2025
Friday10/31/202510/24/2025
Friday11/14/202511/07/2025
Tuesday11/25/202511/21/2025
Friday12/12/2025 (Board Meeting)  12/05/2025
Tuesday12/30/202512/23/2025
Friday01/16/202601/09/2026
Friday01/30/202601/23/2026
Friday02/13/202602/06/2026
Friday 02/27/202602/20/2026
Friday03/13/2026 03/06/2026
Friday03/27/2026 (Board Meeting)03/20/2026
Friday04/17/202604/10/2026
Friday05/01/202604/24/2026
Friday05/15/202605/08/2026
Friday05/29/202605/22/2026
Friday06/12/2026 (Board Meeting)06/05/2026
Friday06/26/202606/19/2026
Friday07/10/202607/03/2026
Friday07/24/202607/17/2026
Friday08/07/202607/31/2026
Friday08/14/2026 (Board Meeting)08/07/2026
Friday08/28/202608/21/2026

*The date the file must be completed to be licensed does not apply to applications submitted via the IMLC.

 

Application Fee: As of 9/1/2025, the fee for physician licensure in Texas is $867.00. Additional non-refundable surcharges related to the National Practitioner Data Bank/Health Integrity Data Bank ($21.00) and the Texas Physician Health Program ($7.00) will be assessed with the application fee. The entire fee must be submitted before your application can be assigned and processed.

 

Temporary License Fee: The is no fee to issue a temporary license.

 

Application-Related Fees: Fees are typically required from other entities that provide documents or services. This list is not all inclusive, but examples of entities that typically charge fees are:

  • The Federation of State Medical Boards for the FCVS packet or exam transcripts;
  • FCSA for a foreign education evaluation; and
  • IdentoGo by IDEMIA for processing the criminal history check.

Fees are typically required from other entities that provide documents or services. 
This list is not all inclusive, but examples of entities that typically charge fees are:
 

• The Federation of State Medical Boards for the FCVS packet or exam transcripts;
• FCSA for a foreign education evaluation; and
• IdentoGo by IDEMIA for processing the criminal history check

 

Finally, the application fee does not cover any part of your initial registration after the license is issued.

The Federation Credentials Verification Service (FCVS) is a service created by the Federation of State Medical Boards to streamline the credentialing and licensing process. FCVS is not a requirement for Texas licensure and is in no way a guarantee of licensure or of an expedited application process in Texas.

 

FCVS will be of the greatest benefit to an applicant who is applying from a school that will not issue multiple sets of documents or will be applying to several other states in addition to Texas. The Federation of State Medical Boards collects information regarding an applicant's identity, medical education, postgraduate training, licensure examination history, ECFMG certification, and board action history. This information is verified by the FCVS and maintained as a primary source record of a physician's credentials. FCVS will send a standard portfolio to state boards, hospitals, managed care plans, or professional societies at the applicant's request.

 

Please note that the Texas Medical Board may require additional documentation in place of or in addition to the documentation provided within the FCVS packet. Please contact the Federation of State Medical Boards directly concerning service fees and processing times.

The requirements are the same for International Medical School Graduates (IMGs) and U.S. or Canadian medical school graduates except that:

• IMGs must demonstrate that they are either ABMS or BOS specialty board certified, have graduated from a medical school on our Substantial Equivalence list, or have graduated from a foreign medical education program that has been determined to be equivalent to a U.S. medical education by the Foreign Credentials Service of America (FCSA); and

• IMGs are required to have either two years of continuous progressive accredited training, TMB Board approved training, teaching under a Faculty Temporary License in Texas, or a combination. Practice under an unrestricted full license issued in the U.S. for at least five years without any disciplinary action in any state may also be accepted in lieu of two years of training previously outlined. 

For information concerning practice opportunities in rural Texas, please contact the State Office of Rural Health or the Southern Rural Access Program.

The waiver of application fees for any military service member, military spouse or military veteran is allowed, however, other surcharges and fees assessed at the time of application cannot be waived. There is no current reduced registration fee.

This number is assigned to you at the time you submitted your application for licensure. For physicians, it can be found online through LIST (Licensure Inquiry System of Texas). For all other applicants, it can be found in the email correspondence you received from the Board indicating the status of your application (be sure to check the subject line as well as the text of the email). If you are still unable to located your 6-digit Board issued ID number, please contact the Texas Medical Board Customer Service Department at (512) 305-7030 between 8 a.m. and 5 p.m. CST or email Screen-CIC@tmb.state.tx.us for assistance.

Call (512) 305-7030 to reach a member of the TMB Call Center between the hours of 8 a.m. and 5 p.m. CST.

You must provide us with a statement that gives an explanation of your request and a copy of the legal document(s) that granted your name change, i.e. marriage license, divorce decree etc.

The social security number of an applicant for or holder of a license, certificate of registration, or other legal authorization issued by a licensing agency to practice in a specific occupation or profession that is provided to the licensing agency is confidential and is not subject to disclosure under the open records law.

Texas requires licensees to professionally use the name under which they are licensed by the Texas Medical Board. Using any other name may confuse or mislead the public and could be considered by the Board to be unprofessional conduct. A licensee who wishes to change his or her professional name must use the Application for Name Change.

No.  Changes in mailing or practice addresses can be updated through My TMB.

An application fee may be refunded under certain limited circumstances, however, other surcharges and fees assessed at the time of application are non-refundable.

If you are unable to obtain a certified copy of your transcript directly from the school you will have to prove that you have made "exhaustive attempts" to obtain it. Your file will have to be reviewed by our Executive Review Group before a determination of acceptability can be made. Please consult your licensing analyst AFTER you submit your application for details on proving "exhaustive attempts." Your licensing analyst may request a copy of your transcript.

Maybe. In order to be eligible for physician licensure in Texas you must prove that you have actively diagnosed or treated patients, have been participating in post-graduate training, or have been on the active teaching faculty of a medical school within the last three years preceding the date of your application. If you don't meet that requirement, the Executive Director may determine that certain conditions must be met before licensure can be granted.

You are required to register your license and complete our online physician profile.

All applicants for licensure are required to pass the Texas Medical Jurisprudence Examination.

There are two reasons your school might not be on the list: 1) the Texas Medical Board has never licensed a graduate of your school before; or 2) the Texas Medical Board more thoroughly investigates the education of graduates of your school. If your school is not listed the board may require additional documentation from you, your school, and some government entities in the country in which your school is located.

A foreign education evaluation is one tool the board uses in evaluating the medical education of a physician applicant who attended a medical school located outside the United States. The board accepts evaluations from the Foreign Credentials Service of America (FCSA). The cost of the evaluation is the responsibility of the applicant. Applicants can find the Form N request form on our website and must be sent directly to the Foreign Credentials Service of America.

Yes. If you have passed a licensing examination (FLEX, NBME, NBOME, USMLE, COMLEX, LMCC or a state board examination) acceptable by the board, you may apply for licensure.

Three, however, there are exceptions to this attempt limit.  Please see the Eligibility Checklist for details regarding exceptions.

We are legislatively mandated to process all physician licensure applications within an average of 51 days. The processing time clock begins when the applicant has submitted all initial requirements and the application has passed from the Pre-Licensure/Screening stage to the Licensing stage. A licensing analyst is assigned to process the application. Individual application processing time will vary according to the complexity of the application. Once the licensing analyst determines the application is complete, the applicant is scheduled for licensure. Currently staff issues licenses twice a month.

Applicants who fall into one of the following categories may be eligible for expedited handling:
1. Physician applicants who agree to practice in a medically underserved area, a health professional shortage area, or a rural area;
2. Physician applicants qualifying under HB1504, who have been fully licensed and actively practicing in another state for at least 5 years, with no disciplinary history or open investigations;
3. Physician applicants who are in active military service, whose spouse is in active military service, or who are military veterans.

No. A temporary license may only be issued after an applicant has met all requirements established by the state of Texas for permanent licensure. However, you may be eligible for a Visiting Physician Temporary Permit.