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Fonts
APTOS FONT
TIMES NEWS ROMAN
Bodoni MT

Sherif Z. Zaafran, M.D., of Houston, is the President of the Texas Medical Board. He is a Board Certified Anesthesiologist and is the Vice-Chair of the Clinical Governance Board for US Anesthesia Partners for the Gulf Coast region as well as a member of the Clinical Governance Board for US Anesthesia Partners Texas. He serves on the Board of Directors of Lucid Lane and is a member of the FDA Analgesia and Anesthesia Drug Product Advisory Committee. He has also served as subcommittee chair on the U.S. Department of Health and Human Services Pain Management Taskforce. He is also a delegate for the Texas Medical Association (TMA), Texas Society of Anesthesiologists, delegate and Fellow for the American Society of Anesthesiologists, and a member of the TMA delegation to the American Medical Association. Zaafran studied biochemistry at The University of Texas at Austin and finished medical school and residency at The University of Texas McGovern Medical School in Houston. He is the current chair of the Texas Medical Board.

Rey Ximenes, M.D., of Spicewood, is a consultant at Balcones Pain Consultants. He is past president and a member of the American Academy of Medical Acupuncture and the Austin Chapter of the Texas Pain Society. Additionally, he is a member of the American Society of Addiction Medicine, the American Society of Interventional Pain Physicians, and the American Association of Naturopathic Physicians. Ximenes received a Bachelor of Arts in Zoology from The University of Texas at Austin and a Doctor of Medicine from the University of Texas Medical School, Houston.
Physician Assistant License
Overview:
The Texas Physician Assistant Board issues a physician assistant license to qualified individuals to practice in Texas. In addition to a license, physician assistants in Texas must practice under the supervision of one or more supervising physicians, and if prescribing drugs, must have a prescriptive delegation agreement with their supervising physician(s).
(Quick Scroll) Before You Apply:
Individuals considering applying for initial licensure or relicensure as a physician assistant or reactivation of their current Inactive TX PA 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.
Individuals considering applying for reissuance of their TX PA license after revocation are required to meet the same statutory eligibility requirements as initial licensure applicants. In addition, statements explaining how reissuance of the PA license is in your best interest and in the best interest of the public will be required.
Helpful Documents
(Quick Scroll) Application Process:
Texas has a two-stage application process – Pre-Licensure/Screening and Licensing.
Stage 1 - Pre-Licensure/Screening
You will be emailed within three business days after you apply with a list of documents required for your application. These items are generated based on your application.
- Submit the documents listed in the email. Supporting documents can be mailed, emailed, or faxed to the Board from the applicant and third-parties. 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.
Delivery Physical Address and Phone Texas Physician Assistant Board 1801 Congress Avenue, Suite 9.200 Austin, TX 78701 | Mailing address Texas Physician Assistant Board P.O. Box 2029 Austin, TX 78768 |
- 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.
- Check your email frequently to track receipt of the items and submit questions. Applicants who both call and email questions when they don’t get an immediate response, delay staff response time and increase application processing time. Email correspondence received by the Board 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.
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 your email. Your licensing analyst will email you requests for additional items.
- 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 submitted a Temporary License Affidavit and paid the $107 fee. The Temporary License allows you to practice between the time Board staff approves your application and the licensing date you will be scheduled to receive your permanent license.
- Licenses are issued once a month.
- Register your license. You will receive a letter and an email within 2 weeks of being licensed, with registration instructions.
- Register your supervising physician before you begin practicing as a physician assistant. You must also have a Federal Narcotics number prior to prescribing Schedule III-V drugs. Visit the DEA’s Diversion Control website to apply for a Federal Narcotics Number. You must also register your supervising physician(s) with the TMB before applying for your DEA number.
Helpful Document
(Quick Scroll) Licensing Dates
Licensing Date | Date File Must be Completed to be Licensed* |
09/24/2024 | 09/17/2024 |
10/22/2024 | 10/15/2024 |
11/08/2024 (Board meeting) | 11/01/2024 |
11/19/2024 | 11/12/2024 |
12/17/2024 | 12/10/2024 |
01/21/2025 | 01/14/2025 |
02/18/2025 | 02/11/2025 |
03/28/2025 (Board meeting) | 03/21/2025 |
04/29/2025 | 04/22/2025 |
05/20/2025 | 05/13/2025 |
06/17/2025 | 06/11/2025 |
07/18/2025 (Board meeting) | 07/11/2025 |
08/19/2025 | 08/12/2025 |
(Quick Scroll) Fees:
Application Fee: The fee for physician assistant licensure in Texas is $220.00. Additional non-refundable surcharges related to the National Practitioner Data Bank/Health Integrity Data Bank and the Texas Physician Health Program may be assessed with the application fee. The entire fee must be submitted before your application can be assigned and processed.
Temporary License Fee: The fee to issue a temporary license is $107.00. If requested, a temporary license can be issued once you have met all the requirements for permanent licensure to enable you to practice until the issuance of your permanent license on the next scheduled licensing date. Permanent licenses are issued once a month.
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:
- eStrategy for administration of the jurisprudence exam; and
IdentoGo by IDEMIA for processing the criminal history check.
(Quick Scroll) FAQ:
See separate word document for PA FAQ
This is Word’s default. Aptos font and “Normal” styling which adds extra spacing in between each line and paragraph like this.
This is a second line in Word’s default. There is a slightly bigger gap when I press “Enter” compared to this second line. If I keep typing there is going to be a third line. This is a third line here and this is the second paragraph. Let’s see what happens when I paste this in Drupal. I am going to add bullet points here:
- Bullet Point 1
- Bullet Point 2
- Bullet Point 3
This is Word’s default. Aptos font and “Normal” styling which adds extra spacing in between each line and paragraph like this.
This is a second line in Word’s default. There is a slightly bigger gap when I press “Enter” compared to this second line. If I keep typing there is going to be a third line. This is a third line here and this is the second paragraph. Let’s see what happens when I paste this in Drupal. I am going to add bullet points here:
- Bullet Point 1
- Bullet Point 2
- Bullet Point 3

Sherif Z. Zaafran, M.D., of Houston, is the President of the Texas Medical Board. He is a Board Certified Anesthesiologist and is the Vice-Chair of the Clinical Governance Board for US Anesthesia Partners for the Gulf Coast region as well as a member of the Clinical Governance Board for US Anesthesia Partners Texas. He serves on the Board of Directors of Lucid Lane and is a member of the FDA Analgesia and Anesthesia Drug Product Advisory Committee. He has also served as subcommittee chair on the U.S. Department of Health and Human Services Pain Management Taskforce. He is also a delegate for the Texas Medical Association (TMA), Texas Society of Anesthesiologists, delegate and Fellow for the American Society of Anesthesiologists, and a member of the TMA delegation to the American Medical Association. Zaafran studied biochemistry at The University of Texas at Austin and finished medical school and residency at The University of Texas McGovern Medical School in Houston. He is the current chair of the Texas Medical Board.
Physician Assistant License
Overview:
The Texas Physician Assistant Board issues a physician assistant license to qualified individuals to practice in Texas. In addition to a license, physician assistants in Texas must practice under the supervision of one or more supervising physicians, and if prescribing drugs, must have a prescriptive delegation agreement with their supervising physician(s).
(Quick Scroll) Before You Apply:
Individuals considering applying for initial licensure or relicensure as a physician assistant or reactivation of their current Inactive TX PA 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.
Individuals considering applying for reissuance of their TX PA license after revocation are required to meet the same statutory eligibility requirements as initial licensure applicants. In addition, statements explaining how reissuance of the PA license is in your best interest and in the best interest of the public will be required.
Helpful Documents
(Quick Scroll) Application Process:
Texas has a two-stage application process – Pre-Licensure/Screening and Licensing.
Stage 1 - Pre-Licensure/Screening
You will be emailed within three business days after you apply with a list of documents required for your application. These items are generated based on your application.
- Submit the documents listed in the email. Supporting documents can be mailed, emailed, or faxed to the Board from the applicant and third-parties. 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.
Delivery Physical Address and Phone Texas Physician Assistant Board 1801 Congress Avenue, Suite 9.200 Austin, TX 78701 | Mailing address Texas Physician Assistant Board P.O. Box 2029 Austin, TX 78768 |
- 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.
- Check your email frequently to track receipt of the items and submit questions. Applicants who both call and email questions when they don’t get an immediate response, delay staff response time and increase application processing time. Email correspondence received by the Board 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.
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 your email. Your licensing analyst will email you requests for additional items.
- 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 submitted a Temporary License Affidavit and paid the $107 fee. The Temporary License allows you to practice between the time Board staff approves your application and the licensing date you will be scheduled to receive your permanent license.
- Licenses are issued once a month.
- Register your license. You will receive a letter and an email within 2 weeks of being licensed, with registration instructions.
- Register your supervising physician before you begin practicing as a physician assistant. You must also have a Federal Narcotics number prior to prescribing Schedule III-V drugs. Visit the DEA’s Diversion Control website to apply for a Federal Narcotics Number. You must also register your supervising physician(s) with the TMB before applying for your DEA number.
Helpful Document
(Quick Scroll) Licensing Dates
Licensing Date | Date File Must be Completed to be Licensed* |
09/24/2024 | 09/17/2024 |
10/22/2024 | 10/15/2024 |
11/08/2024 (Board meeting) | 11/01/2024 |
11/19/2024 | 11/12/2024 |
12/17/2024 | 12/10/2024 |
01/21/2025 | 01/14/2025 |
02/18/2025 | 02/11/2025 |
03/28/2025 (Board meeting) | 03/21/2025 |
04/29/2025 | 04/22/2025 |
05/20/2025 | 05/13/2025 |
06/17/2025 | 06/11/2025 |
07/18/2025 (Board meeting) | 07/11/2025 |
08/19/2025 | 08/12/2025 |
(Quick Scroll) Fees:
Application Fee: The fee for physician assistant licensure in Texas is $220.00. Additional non-refundable surcharges related to the National Practitioner Data Bank/Health Integrity Data Bank and the Texas Physician Health Program may be assessed with the application fee. The entire fee must be submitted before your application can be assigned and processed.
Temporary License Fee: The fee to issue a temporary license is $107.00. If requested, a temporary license can be issued once you have met all the requirements for permanent licensure to enable you to practice until the issuance of your permanent license on the next scheduled licensing date. Permanent licenses are issued once a month.
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:
- eStrategy for administration of the jurisprudence exam; and
IdentoGo by IDEMIA for processing the criminal history check.
(Quick Scroll) FAQ:
See separate word document for PA FAQ
This is Word’s default. Aptos font and “Normal” styling which adds extra spacing in between each line and paragraph like this.
This is a second line in Word’s default. There is a slightly bigger gap when I press “Enter” compared to this second line. If I keep typing there is going to be a third line. This is a third line here and this is the second paragraph. Let’s see what happens when I paste this in Drupal. I am going to add bullet points here:
- Bullet Point 1
- Bullet Point 2
- Bullet Point 3
This is Word’s default. Aptos font and “Normal” styling which adds extra spacing in between each line and paragraph like this.
This is a second line in Word’s default. There is a slightly bigger gap when I press “Enter” compared to this second line. If I keep typing there is going to be a third line. This is a third line here and this is the second paragraph. Let’s see what happens when I paste this in Drupal. I am going to add bullet points here:
- Bullet Point 1
- Bullet Point 2
- Bullet Point 3