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Yes. They must register with the TMB for bulk payment processing. Your program will receive a third party identification number which they should make available to you, if they wish to pay your application fee. On the payment page of the online application, select "Pay by Third Party Payment". Enter the third party identification number you were given in the "Third Party ID" field. 

Note: This number should not be confused with the TMB personal identification number, or your ACGME, AOA, or TMB Program Identification number. Be sure to enter a valid email address. You will receive an email if the application fee has not been paid within seven days. Your application will not be submitted to the Texas Medical Board until the fee has been paid. Entering an incorrect third party identification number will mean that your program, or other third party payer, is prevented from paying for your application, and you will have to submit a new application with the correct third party identification number or choose another form of payment.

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.

Due to patterns of malware, certain countries are blocked from access to TMB online applications. PIT applicants residing in other countries who are unable to access the online application should do the following:

• Print a copy of the Sample PIT Application.
• Complete the Sample Application and work with someone in your program to enter the information into our online application.
  Pay the application fee.
• Complete a Third-Party Application Completion Affidavit since you did not complete the online application or attestation, and mail or fax the completed affidavit to TMB.

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.

In certain circumstances, some Physician-in-Training permit applicants may be required to complete fingerprints.

A Family Medicine resident could reasonably be approved by his or her program director to internally moonlight with a PIT permit in the ER, maternity ward, or ambulatory clinic. An Internal Medicine resident could reasonably be approved by his or her program director to internally moonlight in the ER, ICU, or on the Critical Care service. However, a Family Medicine or Internal Medicine resident should not internally moonlight with a PIT permit on the Surgery service as it is not related to the specialty.

Yes. For our purposes, internal moonlighting is defined as additional optional training within the scope of a training program, provided it occurs under the direction of a faculty member associated with the training program; is in compliance with the training requirements including but not limited to requirements for faculty supervision and work hour limitations; and is in the same specialty as the training program or approved by the program director as a training area related to the specialty.

Yes. An online PIT application must be completed for a rotation in Texas regardless of rotation length. You will use the same online application as a Texas physician in training, however, the fee will vary.

Individual application processing time will vary according to the complexity of the application based on the information in your application and your responses to the application questions. Applications that have all “no” answers, do not require supplemental forms or assignment to an analyst, or do not require a formal review should be processed within 14 days from date of receipt by the Board.

If the application is assigned to an analyst, the initial review of the application may take approximately 4 weeks due to the volume of applications received. The analyst will communicate with applicants via email. Receipt of documents do not equate to processing, or acceptability, of the document. We do suggest that you should allow at least 90 days to 120 days for processing of the application.

Personal statements can be sent by e-mail, fax, regular or overnight mail. Documents and third-party information can be sent by regular or overnight mail, or fax, if the documents are less than 10 pages.

• E-mail to pit.applications@tmb.state.tx.us. Fax to (888) 550-7516 Attn: PIT Permits
• Overnight and Regular mail - We recommend using one of the private overnight delivery services that allow tracking to submit all required items. These services require delivery to a physical address and a phone number. Delivery by a private overnight service to our physical address usually allows you to obtain immediate online confirmation of delivery from the carrier.

Items mailed through the US Postal Service (regular, certified, express, or overnight), must be addressed to our mailing address, or they will be returned to the sender. A vendor signs for and delivers these items to our agency. Even if a tracking mechanism is used, the signature confirming receipt of items delivered to the mailing address will be that of a vendor employee, making confirmation of delivery more difficult.
 

Delivery Physical Address:
Texas Medical Board,
1801 Congress Avenue, 
Suite 9-200, 
Austin, TX 78701
 

Mailing address:
Texas Medical Board,
P.O. Box 2029,
Austin, TX 78768 
 

PIT applications are submitted online after you have been notified of your TMB personal ID# from either your GME office or residency training program coordinator.

Be sure to make at least two copies of the Receipt page when you complete your online application. The amount you paid will be reflected on the receipt. You can keep one copy for your records and use the other copy to request reimbursement from your residency program or medical school.

Please use the TMB provider search by performing a search for your name using the “Look Up a License” button on the homepage. If you have been issued a permit, your permit will be listed there. You can also check with your program coordinator to see if they have received the established confirmation from the Board that the permit was issued. Please refrain from sending emails or calls to inquire about your status unless it is more than 30 days past your application date.

The TMB no longer prints or mails hard copy permits but, if online verification is not sufficient, you can obtain a copy by setting up a My TMB account on our website.  The permit will be available for downloading or printing from there. Please be aware that in order to utilize the My TMB portal you will need a valid Social Security number. If you do not have an SSN, you will not be able to access the service.

Not for our purposes. TMB will only be concerned with the supervised practice of medicine under a PIT permit.

Documents submitted to and received by the board prior to the receipt of an application with fee will be held for 6 months. After this time, if no application has been received, the documents will be permanently destroyed.

No, a physician-in-training permit holder is restricted to the supervised practice of medicine that is part of and approved by the training program. The permit does not allow for the practice of medicine that is outside of the approved program.

No. When a Temporary or Full License is issued, it terminates any active PIT permit or other temporary license type (ie – Faculty Temporary License). A Full License will terminate a Temporary License. 

No.

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.

Yes, you need a My TMB account to download a copy of your PIT permit. You must have a valid email address and SSN provided in your application. PIT permits that have expired or have been terminated cannot be printed using the electronic permit system.

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.