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.

Initial Registration Fee as of 9/1/2023

The initial registration fee includes an $80 Senate Bill 104 (2003) fee per registration,  the $13.48 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.

As of 3/13/2025, the biennial registration fee includes an $80 Senate Bill 104 (2003) fee, the $13.48 Prescription Monitoring Program (PMP) fee, $11.00 for the National Practitioner Data Bank (NPDB), $15.00 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.

*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, or in military service.

Physicians can register online 60 days prior to expiration. Registration reminders will be sent out on postcards.

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:     $481.73 – TMB Registration fee due
          $492.83 – Total amount charged on Credit Card

Ex:     $481.73 – TMB Registration fee due
          $481.73 – 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 at registrations@tmb.state.tx.us or (512) 305-7030.