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“ Look Up a License Consumer/Public Resources Change Address Prescriptive Delegation System Registration Information Name Change Request Form Forms Laws & Rules Newsroom TMB Bulletins Contact Us ”

This content is located on the following page(s): home | IMLC Renewal Information | Renewal - Prescribing Updates | Renewal - Physician - Online Registration/ Registration | Licensing | Licensee Resources | Renewals and Registration | Renewals Physicians | Medical Board Bio's | Acupuncture Board Bio's | Acupuncture Board Committees | Acupuncture Board History | Acupuncture Board Calendar | Non-profit Health Organizations | Temporary Acupuncture License | Acupuncture Resources | Surgical Assistant Licensees | Pain Management Clinics with Disciplinary Actions | Licensure Credential Verification Process letter | HCE Notice | Complaint Process | FAQs | Renewal Physician Assistant | Renewals - PA - Online Registration/ Registration | Renewal Acupuncturists | Acupuncturist - Online Registration/ Registration | Renewal - Other Registrations | Supervision and Prescriptive Delegation | Pain Mgt Clinic Registration | Renewal - Acudetox | Renewal - Non-certified Radiological Technicians Permits | Renewal - Surgical Assistant | Renewal Non-Profit Health Care Organizations | Renewal Chief Medical Officer Designation | Renewal - Electronic Death Certificate | Renewal - Jointly Owned Physician / PA | Renewal - Forms | Renewal - FAQs | Online Supervision and Delegation Registration System | Renewal - Physician - FAQs | Renewal - PA - Retirement Option | Renewal - Cancellation by Request | Physician Retirement Options | Renewal - Physician - Cancellation by Request | Renewal - Office Based Anesthesia | Licensing - Other License Types | Criminal History Evaluation Letter | Acupuncturists Rules and Regulations | Acupuncturists Resources and Continuing Education | Surgical Assistant Licensure Getting Started | Change of Address | Other Delegation FAQs | Name Change Form | Agency - SB 202 License Transfer | Cancellation by Request | Contents of the Profile System | ALERT: Scams Targeting Licensees | Change Address | Get Fingerprints | Gold Designated Practice | Customer Service E-mail FAQs | General Delegation FAQs | Prescriptive Authority Agreement FAQs | EMS – Off-line Medical Director | Board Approved Fellowship | Ebola CME Resources | Facility-Based Prescriptive Delegation | Military Fee Exemption | Useful Information | Medical Radiologic Technologist | Renewal - Other Permits & Licenses | Renewal - Medical Radiologic Technologist | Renewal - Full Medical Radiologic Technologist | Renewal - Limited Medical Radiologic Technologists | Renewal - Medical Physicists | Renewal - Perfusionist | Renewal - Respiratory Care Practitioner renew | Renewal - Non-Certified Radiologic Technician Registry | Respiratory Care Practitioner main | Electronic Licenses | Retirement/Cancellation by Request - RCP | Inactive Request - RCP | Physician Profile Descriptions | Licensing - Hardship Exemptions | Licensing - Fingerprinting FAQs | Renewal - LMRT Exams | Retirement/Cancellation by Request | Renewal - AC - Retirement Options | Renewal - Physician - Transfer and Disposal of Medical Records | Renewal - Medical Radiologist Assistant | JP exam registration and login | Servicemember and Spouse Professional License Recognition | Servicemember and Spouse Professional License Recognition | Board Action Search | Renewal - Electronic Prescribing Waiver | IMLC Renewal FAQs

Physicians Before You Apply

“... n moved to licensure.    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.  LIST is available via the following link: https://list.tmb.state.tx.us/Default.aspx.  If you are unable ... ”

This content is located on the following page(s): Physician Before You Apply

Agency Quick Links

“ Look Up a License Laws & Rules Newsroom Forms Meeting Minutes Medical Board Physician Assistant Board Acupuncture Board Medical Radiologic Technology Board Respiratory Care Board Meeting Videos Contact Us ”

General Information for Physician Applicants

“... our application is screened.  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.  LIST is available via the following link: https://list.tmb.state.tx.us/Default.aspx.  If you are un ... ”

This content is located on the following page(s): Apply

RCP Inactive Tab 1 – Requesting the Inactive Status

“... nd have a license in good standing. To request a change to the Inactive status for a Texas Respiratory Care Practitioner certificate, complete and return the inactive request form (link below) to the Board for approval before the expiration date of the current certificate.  Refunds of registra ... ”

This content is located on the following page(s): Inactive Request - RCP

Acupuncturist Documentation Checklist

“... cation be sent directly to the Board. Alternate Name.   If you have recorded an alternate name on your application you are required to submit copies of documents that will support the name change. Those documents could be a marriage certificate, divorce decree, court ordered name change, ... ”

This content is located on the following page(s): Acudetox Checklist | Acupuncture Checklist of Supplemental Documentation

Acudetox Checklist -tab 1

“... Acudetox training course you attended. Alternate Name - If you have recorded an alternate name on your application you are required to submit copies of documents that will support the name change. Those documents could be a marriage certificate, divorce decree, court ordered name change, or some ot ... ”

This content is located on the following page(s): Acudetox Checklist

PIT Quick Links

“... n Fees Apply PIT Application Supplemental Forms Change Address Reporting Requirements PIT Permit Holder’s Reporting Form - PDF Duties of Program Directors to Report Form - PDF FAQs ”

Change of Address

“Now available – online Change of Address   As part of the “My TMB” system integration, we are now able to offer the ability to update mailing and practice addresses online for the majority of our licensees.   To update your mailing or practice address online click the lin ... ”

This content is located on the following page(s): Change Address

Continuing Medical Education for MDs/DOs

“... /or personal development listed above.  This change eliminated only the process for TMB ethics designation of courses.  Those courses previously designated by the TMB for ethics credit were accepted through the expiration date of their approval.  Board meeting minutes are availab ... ”

This content is located on the following page(s): Resources - CME for MD/DOs

Website Linking Policy

“... fy your links to the TMB site. Specific pages may change or be removed as content changes. Prohibited Actions 1. Any other website shall not;     a. Capture TMB pages within frames     b. Present TMB content as its own, or     c. Otherwise misrepresent TM ... ”

This content is located on the following page(s): Agency - Website Linking Policy

Licensee Forms

“... e website.   Complaint Notice Poster Change of Address - now avaliable online click here   Name Change Request Form   Verification Request Form Printable Tanning Advisory   Complaint Notice Poster - Private Autopsy Facility   Consent Form for ... ”

This content is located on the following page(s): Resources - License Forms

Physician Assistant Documentation Checklist

“... the Texas Physician Assistant Board. Alternate Name.  If you have recorded an alternate name on your application you are required to submit copies of documents that will support the name change. Those documents could be a marriage certificate, divorce decree, court ordered name change, ... ”

This content is located on the following page(s): PA Checklist of Supplemental Documentation

Online Supervision and Prescriptive Delegation Registration System

“... ions, updates submitted more than 30 days after a change does not affect any liability you may have incurred for not properly registering supervision or delegation information.   Supervision and Prescriptive Delegation Registration System - Step by Step Instructions - These instructions wi ... ”

This content is located on the following page(s): Online Supervision and Delegation Registration System

Title: TMB Bulletin Fall 2000

Description: TMB Bulletin Fall 2000

Document: ... as for information to be added to your profile. A change to the CME question on the new renewal form is noteworthy. The question asks whether one has met current CME requirements. The response is "Yes" or "No." As always, physicians should keep a tally of their CME hours, but especially now as the B ...

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Title: TMB Bulletin Fall 2004

Description: TMB Bulletin Fall 2004

Document: ... fessionalism. Heading the list in my opinion is a change in society's overall priorities and values. Old-fashioned hard work, devotion to duty, and pursuit of excellence have taken a back seat to an emphasis on limited work hours and quests for financial and other types of personal gains. As a resul ...

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Title: TMB Bulletin Fall 2009

Description: TMB Bulletin Fall 2009 

Document: ... ep the board informed of their current address. Change of address forms are at http:// www.tmb.state.tx.us/professionals/ hcpres/changeaddress.ph p committee, department chair of a facility department, or a physician who consents to a request of the medical director or chief of medical staff t ...

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Title: TMB Bulletin Fall 2007

Description: TMB Bulletin Fall 2007 

Document: ... be listed in news releases and the newsletter by name (beginning with this issue), only by the numbers of such violations. There has been recent criticism that taking action on these minor rules infractions is a waste of the boards time and unnecessarily singles out otherwise good physicians. If bo ...

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Title: TMB Bulletin Fall 1998

Description: TMB Bulletin Fall 1998 

Document: ... set of symptoms predominating for awhile only to change to another very different manifestation. Primary skin lesion(s): Along with the flu-like symptoms, many victims (about 35 percent) develop an unusual skin lesion. The small red area around the insect bite begins to expand. The generally circul ...

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Title: TMB Bulletin Fall 1999

Description: TMB Bulletin Fall 1999 

Document: ... set of symptoms predominating for awhile only to change to another very different manifestation. Primary skin lesion(s): Along with the flu-like symptoms, many victims (about 35 percent) develop an unusual skin lesion. The small red area around the insect bite begins to expand. The generally circul ...

Click to view in browser - Bulletin_fall99.pdf
Click to download file

Title: TMB Bulletin Spring 2000

Description: TMB Bulletin Spring 2000 

Document: ... ans and provided to the public. The list includes name, date and place of birth, gender, ethnic origin, name of medical school(s) and date of graduation, a full description of graduate medical education, any specialty certification, number of years in practice, date of Texas licensure and expiration ...

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Title: TMB Bulletin Spring 2005

Description: TMB Bulletin Spring 2005

Document: ... eone else after a period of tremendous growth and change for the Board and the agency. He will continue to serve on the Board. The board also elected officers at its June 2-3 board meeting. They are Vice President Larry Price, D.O., of Temple, who was re-elected, and Eddie Miles Jr., a public member ...

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Title: TMB Bulletin Spring 2007

Description: TMB Bulletin Spring 2007 

Document: ... ses were unresolved at the time of publication. Name License No. Date filed Allegations Merrimon W. Baker, M.D... G4807.......... 1/26/07..... Failure to comply with a Board order; unprofessional conduct. Francis X. Burch, M.D......... F4774.......... 3/26/07..... Failure to practice medicine i ...

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Title: TMB Bulletin Spring 2004

Description: TMB Bulletin Spring 2004 

Document: ... dicine for failure to properly inform them of his change of address. Allen, David Daniel, M.D., Allen, TX, Lic. #H6007 On 2-6-04, the Board and Dr. Allen entered into an Agreed Order assessing an administrative penalty of $10,000. The action was based on allegations that Dr. Allen submitted two fals ...

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Title: TMB Bulletin Spring 2010

Description: TMB Bulletin Spring 2010

Document: ... imself as an acupuncturist immediately after his name on a fax sent to the school nurse of a patient, and held himself out as a physician or surgeon 44 where they can contact him to obtain copies of their medical records. The action was based on Dr. Crain’s being placed on deferred adjudication ...

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Title: TMB Bulletin Spring 2002

Description: TMB Bulletin Spring 2002

Document: ... disciplinary status and registration status. The change was recommended because the dates created confusion for both physicians and consumers as they often represented the date of data conversion or other administrative action rather than any action of significance to consumers. TMB previously revi ...

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Title: TMB Bulletin Spring 1997

Description: TMB Bulletin Spring 1997

Document: ... ion forms must contain the following information: name, address and telephone number of the physician; the name, address, telephone and license number of the physician assis tant signing the prescription drug order. The prescription will contain the following information: patient's name and address, ...

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Title: TMB Bulletin Spring 2008

Description: TMB Bulletin Spring  2008 

Document: ... cal records in a timely manner, failure to file a change of address with TMB, failure to sign a death certificate in a timely manner, failure to obtain required continuing medical education, and other administrative violations. Violations arising from inadequate patient care or unprofessional conduc ...

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Title: TMB Bulletin Spring 1999

Description: TMB Bulletin Spring 1999

Document: ... rtment of Public Safety need to be aware of a fee change from $5 to $25. The increase was authorized by the 75th Legislature and is the only fee increase in the 25-year history of the registration program. A registration issued by DPS is required to manufacture, distribute, analyze, dispense or cond ...

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Can I expedite my physician assistant application?

“... he Form Y to expedite an application. Should this change, notification will be posted. ”

As a physician, is it okay to go by a nickname or shortened version of my given name in my practice?

“... xas requires physicians 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 physician who wishes to change his or her professional name mus ... ”

What do I need to do to change the name I use professionally?

“... gives an explanation of your request, a completed Name Change Application form and a notarized copy of the legal document(s) that granted your name change, i.e. marriage license, divorce decree etc. ”

Can I give my change of address over the phone?

“... icense types that cannot use the online system, a Change of Address form is available, but not required.  Information on the new Change of Address system is available at: http://www.tmb.state.tx.us/page/change-address ”

How soon does a PA need to update the Board about a change in supervising physicians? What about an addition?

“Within 30 days of the change or addition. This can be done through the Online Supervisions and Prescriptive Delegation Registration System. ”

How do I submit a name change or change of address for my pain management clinic?

“A name change or change of address for a registered pain management clinic must be submitted in writing (by mail or fax).  Please use the PMC change of address form located here. ”

Does the physician's name need to be included on the prescription?

“Yes, the physician’s name, address and telephone number are required to be included on the prescription drug order.  If the prescription is for a controlled substance, the physician’s DEA number is also required to be included on the prescription.  SB 406 did not change the req ... ”

How many miles from my delegating physician can my practice site be?

“... e of the APRN or PA. That said, there has been no change in the law that requires that a physician must provide adequate supervision of delegates. In any given case, the distance between a physician’s primary practice and the practice site at which the physician’s delegates provide medic ... ”

How many charts must be reviewed?

“... this determination. That said, there has been no change in the law that requires that a physician must provide adequate supervision of delegates. In any given case, the number or percentage of charts reviewed may be an important factor in determining the quality of the physician’s supervision ... ”

What is "non-biographical" information as it pertains to an Electronic Medical Record (EMR)?

“... ical data/information is data that will typically change from visit to visit. For example, many EMR systems bring forward from the previous encounter non-biographical information such as symptoms, diagnosis, vitals, lab levels, history, previous treatments etc... However, because symptoms often reso ... ”

How do I change my address with the Texas Medical Board?

“As part of the “My TMB” system, we are now able to offer the ability to update mailing and practice addresses online for the majority of our licensees. To update your mailing or practice address online click the “My TMB” link in the upper right hand corner of our website ... ”

Do I have to let the Medical Board know about my delegates/supervising physicians?

“... s beginning to work for them.  If there is a change to the scope of the delegation, physicians must notify the Board within 30 days of this change.PAs are likewise required to register their supervising physicians with the Board prior to beginning to practice under the employment or prescriptiv ... ”

Does everyone at my practice have to apply for a waiver or just the medical director?

“... or their own individual waiver. Although this may change in the future, TMB is currently unable to track waivers by group.       ”

Will I be notified before my waiver expires?

“... cribers when their waiver expires.  This may change in the future.  ”

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