To activate your license for the first time, you need to pay your first time registration fee within 90 days of your license issue date. To maintain an active license, you will need to renew your registration every two years.
Physicians can register online up to 60-90 days prior to expiration. Registration reminders will be sent out on postcards at least 60 days in advance of the expiration date.
There are five steps to submit your online license renewal:
- Go to the Physician Online Registration/Renewal system. Please note that if you are not able to complete your online license renewal, your data will be automatically saved for you for 15 days. Upon your return to complete the renewal, you will be given the option to use your saved application or to begin again.
- Enter your License Number and your Social Security Number.
- Review, confirm or update your information, and complete your registration.
- Pay the registration fees with MasterCard, Visa, Discover, American Express, or Electronic Check.
- View and print receipt.
Note: A fingerprint background check will be required before you can access online registration renewal, per the statutory requirement set out in Texas Occupations Code, Sec 156.0015, unless you were fingerprinted for your Physician licensure application after 1/15/2018. See Submit Fingerprints for additional information. The Physician Specialty List should be used with application and registration forms.
Once the Board has issued you an official license number, you will have 90 days to register and activate your license. Failure to register will result in penalty fees, and after one year, license cancellation.
Please note: If you have not registered your license within 90 days of your license issue date, a $75 penalty fee will be assessed. If you have not registered your license within 120 days of your license issue date, the penalty fee will increase to $150. If you do not register within 12 months of the date of issuance of your license, your license will be considered canceled.
The Board assigns the first registration period. These initial permits will be either 12 or 24 months in length. First time registration fees are prorated accordingly. Subsequent registrations will be two years in length and will be due on the same day each time. Even number licenses expire in even number years and odd number licenses expire in odd number years.
As of 9/1/2025, the initial registration fee includes an $80 Senate Bill 104 (2003) fee per registration, the $11.48 Prescription Monitoring Program (PMP) fee, and a $5 Office of Patient Protection fee for the first year, with an additional $1 charged for any subsequent year. These fees are required by statute and cannot be pro-rated. The remaining amount is required by the TMB and prorated for each permit length.
These fees are explained in more detail in the chart below.
| Length of Permit | Agency Fee | SB 104 | Ofc Pt Prot Fee | PMP | Total |
| 12 months | $ 185.00 | $ 80.00 | $ 5.00 | $ 11.48 | $ 281.48 |
| 24 months | $ 370.00 | $ 80.00 | $ 6.00 | $ 11.48 | $ 467.48 |
As of 9/1/2025, the biennial registration fee includes an $80 Senate Bill 104 (2003) fee, the $11.48 Prescription Monitoring Program (PMP) fee, $21.00 for the National Practitioner Data Bank (NPDB), $7.00 for the Physician Health Program (PHP), and a $2 Office of Patient Protection fee. These fees are required by statute. The remaining $370 is the fee required by the TMB.
These fees are explained in more detail in the chart below.
Subsequent Biennial Registration
| Length of Permit | Agency Fee | SB 104 | Ofc Pt Prot Fee | *NPDB | *TXPHP | PMP | Total |
| 24 months | $370.00 | $80.00 | $2.00 | $21.00 | $7.00 | $11.48 | $491.48 |
*Fees are not refundable.
Physician licenses expire at one of 4 times during the year; February 28th, May 31st, August 31st, or November 30th. These registration periods are assigned by the TMB at the time of licensure, and the fees are pro-rated appropriately for the initial registration. Even number licenses expire in even number years and odd number licenses expire in odd number years.
After the initial registration, we are not able to offer the option of a shorter or annual registration. In addition, there are no registration fee exemptions for physicians who are in training.
Physicians can register online 60 days prior to expiration. Registration reminders will be sent out on postcards.
Initial Registration
If you have not registered your license within 90 days of your license issue date, a $75 penalty fee will be assessed. If you have not registered your license within 120 days of your license issue date, the penalty fee will increase to $150. If you do not register within 12 months of the date of issuance of your license, your license will be considered canceled.
Subsequent Renewal of Registration
There is a 30 day grace period for the expiration date of a physician license. Once the 30 day grace period past the expiration date has occurred, a penalty fee of $75 will be added. After 90 days, the penalty fee will increase to $150. If a license has been expired for one year or longer it is automatically cancelled.
Online registration:
No financial information is seen, processed, or stored by the Texas Medical Board.
The payment portion of the online registration system is handled by Texas.gov, the official website of Texas. The price of this service includes funds that support the ongoing operations and enhancements of Texas.gov, which is provided by a third party in partnership with the State. Texas.gov will remit the amount paid to the Texas Medical Board on your behalf.
Please note that as of 9/1/2015 Texas.gov will charge a different amount depending on the type of online payment service used.
Ex: $491.48 – TMB Registration fee due
$502.80 – Total amount charged on Credit Card
Ex: $491.48 – TMB Registration fee due
$491.48 – Total amount charged through electronic check
Non-online (paper) registration:
An additional processing fee of $50 will be charged to those licensees who choose to register through a paper form, when an online option is available. If an online option is not available (ex: license is delinquent or suspended at the time of registration) the additional processing fee will not be required.
To request a hard copy registration form, please contact the Registration Department via email or call (512) 305-7030.
The Texas Medical Board uses electronic permits for a more paperless experience and print on demand for licensees. Once your registration/renewal is complete, please allow 2 business days for processing. After that time, you will be able to log into your MyTMB account and view, save or print a copy of your active license.
Please note that primary source verification regarding licensure status is always available to anyone, including licensees’ employers, via the TMB website through ‘Look up a License’.
Licensees can register online up to 60-90 days prior to expiration. If you cannot proceed with online registration, try again closer to your expiration date. If it is less than 60 days prior to expiration, please email us at Registrations@tmb.state.tx.us.
The payment portion of the online registration system is handled by Texas.gov, the official website of Texas. A printable receipt will be provided at the end of the online registration process. In addition, a printable confirmation of payment receipt will be emailed to the address given as part of the Texas.gov payment process. As of May 1, 2025 Texas.gov has a new vender for the payments submitted. The TMB online payments will have a staggered rollout for this new payment vender, so this email receipt will be sent from either “noreply.tmb@egov.com” or “donotreply@snappayglobal.com”.
Additional copies of the receipt will be provided by request only. Submit your request to Registrations@tmb.state.tx.us. Please include your full name, license number, date of payment, and amount paid.
Please note that the Board does not have a “zero balance receipt” that shows that a licensee has a zero balance or that licensee registration has been paid in full, nor can we provide an individualized billing statement of the amount due to complete license registration/renewal.
Please note that the fingerprint background check results will be required prior to a license being able to access the online registration system. While processing times vary (average turnaround time is less than 10 business days), please note it can take 4-6 weeks for hard card submissions. Completing your fingerprints prior to your renewal period will NOT enable you to renew your license early. If you believe that you should be able to access the online registration system, and you are not able to, please contact us a Registrations@tmb.state.tx.us.
An additional processing fee of $50 will be charged to those licensees who choose to register through a paper form, when an online option is available. If an online option is not available (ex: license is delinquent or suspended at the time of registration) the additional processing fee will not be required.
To request a hard copy registration form, please contact the Registration Department at Registrations@tmb.state.tx.us or (512) 305-7030.
The Board understands that medical or mental health treatment is a normal part of many people's lives and receiving treatment such as counseling or therapy does not alone disqualify a licensee. However, the Board is obligated to determine whether a licensee is physically and mentally fit to practice and, therefore, must inquire to the extent necessary to make this determination. While the renewal process does include a question pertaining to impairment, the question has been thoughtfully written to limit overly broad probing language that might dissuade health professionals from seeking treatment and reporting their conditions.
Refunds of application/registration fees are available in very limited circumstances. These fees may be refunded in cases of administrative error by the TMB; applicants who withdraw their applications within 45 days of initial application, licensees who retire or request cancellation within 90 days of paying the fee, or on behalf of applicants/licensees who die within 90 days of paying the fee. A pro-rated refund may be requested for good cause by a spouse or personal representative of an applicant/licensee who has died more than 90 days after paying the application/registration fee.
No, there is not. However, military personnel, with questions regarding registration or permits, who are being deployed, should contact the TMB.