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Search Term: 'name change'

Out-of-State Telemedicine License

“Based on change in law in 2017, a Full medical license is required to practice Telemedicine in Texas. Therefore, the issuance of telemedicine licenses has been suspended. Until further notice, there are no changes to the existing Telemedicine licenses registration procedures. Options to transitionin ... ”

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

Practice Resources

“Professional Name Presentation All licensed physicians in the state of Texas are required to professionally use the name under which they are licensed with the Texas Medical Board. Using any other name may confuse or mislead the public and may be considered by the Board to be unprofessional conduct ... ”

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

Pain Management Clinic Forms

“... management clinics are not able to use the online Change of Address option.  To submit a change of address for a registered clinic location, please use the form below. Pain Management Clinic - Change of Address Form   Please mail or fax completed forms to the following address:   Texa ... ”

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

LMRT Exam Information

“... number of questions in each section is subject to change.    At this time the passing score for all categories is 75%.   If you have not been issued a full limited certificate by the time your temporary limited certificate expires, you must cease performing radiologic procedures ... ”

This content is located on the following page(s): Renewal - LMRT Exams

PA 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 physician assistant license, complete and return the inactive request form (link below) to the Board for approval before the expiration date of the current license.  Refunds of registration/renewal fees ... ”

This content is located on the following page(s): Renewal - Cancellation by Request

AC 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 Acupuncture license, complete and return the inactive request form (link below) to the Board for approval before the expiration date of the current license.  Refunds of registration/renewal fees already ... ”

This content is located on the following page(s): Cancellation by Request

Profile contents - Tab #2 - How do I update my Profile?

“... il includes an attachment with the requested change and a signature of the licensee.   Written changes can be sent to:   Email: registrations@tmb.state.tx.us             OR Fax: (888) 512-2581            ... ”

This content is located on the following page(s): Contents of the Profile System

Profile contents - Tab #3 - When do I update my profile?

“... he Board within 30 days after the event: (1) Any change of mailing or practice address; (2) Incarceration in a state or federal penitentiary; (3) A description of any conviction for a felony, a Class A or Class B misdemeanor, or a Class C misdemeanor involving moral turpitude; (4) A description of ... ”

This content is located on the following page(s): Contents of the Profile System

Expert Consultants

“DIRECT DEPOSIT FORM 74-176 PAYEE CHANGE FORM 74-157 ”

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

Title: Medical Board 2007 - April - DPRC

Description: Medical Board 2007 - April - Minutes of the Disciplinary Process Review Committee April 12, 2007

Document: ... 196, Voluntary Surrender of Medical License , to change the title of the chapter and include amendments to §196.1 and 196.4, to change the term for voluntary surrender that is not involved in disciplinary action or impairment to "Relinquishment;" G. Chapter 198, Unlicensed Practice , to include ame ...

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Title: Medical Board 2007 - August - Executive

Description: Medical Board 2007 - August - Executive Committee Meeting Minutes

Document: ... er 18 th. Mr. Simpson indicated the proposed rule change would be published in the register in time for public comment and consideration during the October meeting. Agenda Item # 3, Report and discussion regarding personnel matters. Discussed during Agenda Item # 2. Agenda item #4, Executive Direc ...

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Title: Medical Board 2007 - August - Public Information

Description: Medical Board 2007 - August - Public Information/Profile Committee Meeting Minutes

Document: ... ons. Dr. Larry Anderson recommended the following change: 199.5. Notice of Ownership Interest in a Niche Hospital. (a) A physician shall notify the Department of State Health Services of an ownership interest held by the physician in a any niche hospital as required by 162.052 of the Act. Dr. Miller ...

Click to view in browser - MB-2007-Aug-pipc.pdf
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Title: Medical Board 2007 - February - DPRC

Description: Medical Board 2007 - February - Minutes of the Disciplinary Process Review Committee

Document: ... ssion was held on Agenda Item # 4 regarding color change requests within the Compliance Department. Ms. Robinson led the discussion and the action was deferred to the April 2007 meeting to develop the beginnings of a plan. The committee did direct Ms. Robinson to consider the percentage of successfu ...

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Title: Medical Board 2007 - February - Executive

Description: Medical Board 2007 - February - Executive Committee Meeting Minutes

Document: ... egation of payroll duties was another recommended change. Dr. Kalafut requested that the audit recommendations be included in future finance reports provided to the Board members. This report should include a separate section regarding contract work. Members of the Board also requested that a report ...

Click to view in browser - MB-2007-Feb-executive.pdf
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Title: Medical Board 2007 - February - Full Board

Description: Medical Board 2007 - February - Full Board Committee Meeting Minutes

Document: ... e draft. Staff was directed to make the requested change. Discussion item #4, Committee reports and the consideration and approval of minutes and action items of committees meeting during the Board meeting. Dr. Kalafut gave a report of the Executive Committee. Ms. Fredricks moved, Dr. Pate seconde ...

Click to view in browser - MB-2007-Feb-fullboardFebruary15.pdf
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Title: Medical Board 2007 - February - Licensure

Description: Medical Board 2007 - February - Licensure Committee Meeting Minutes

Document: ... ity to approve medical schools, and possible rule change. Mr. Simpson presented possible rule changes that will be discussed with the Licensure stakeholders group in March, updated based on their input, and presented to the Licensure Committee at the April Board meeting. One proposal is that TMB set ...

Click to view in browser - MB-2007-Feb-licensure.pdf
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Title: Medical Board 2007 - February - Public Information

Description: Medical Board 2007 - February - Public Information/Profile Committee Meeting Minutes

Document: ... nd inaccurate in two years. Ms. Garanflo said the change back to annual registration wouldn't have much impact on efficiency because most registration is done on line. A change would require legislation. Agenda item #4, the meeting was adjourned at 10:53 a.m. ...

Click to view in browser - MB-2007-Feb-pipc.pdf
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Title: Medical Board 2007 - November - Full Board

Description: Medical Board 2007 - November - Full Board Committee Meeting Minutes

Document: ... icipation. Board staff explained that a statutory change would be needed in order for a separate rehabilitation program to be created in Texas. The board members instructed board staff to continue researching the matter and report back at a later meeting. The meeting recessed for the day at 5:58 p.m ...

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Title: Medical Board 2008 - August - Licensure Committee Action Item Agenda Item 2a Applicant #672

Description: Medical Board 2008 - August - Licensure Committee Action Item Agenda Item 2a Applicant #672 Licensure Committee Proposed Non-Public Non-Disciplinary Rehabilitation Order

Document: ... cooperation with board staff or representatives change of address notification Violation constitutes unprofessional conduct modification or termination request after one year CONFIDENTIAL NONPUBLIC REHABILITATION AGREED ORDER March 13, 2007 1 March 13, 2007 CONFIDENTIAL NONPUBLIC REHABILITAT ...

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Title: Medical Board 2008 - August - Licensure Committee Proposed Non-Public Non-Disciplinary Rehabilitation Order

Description: Medical Board 2008 - August - Licensure Committee Licensure Committee Proposed Non-Public Non-Disciplinary Rehabilitation Order

Document: ... cooperation with board staff or representatives change of address notification Violation constitutes unprofessional conduct CONFIDENTIAL NONPUBLIC REHABILITATION AGREED ORDER March 13, 2007 1 modification or termination request after one year March 13, 2007 CONFIDENTIAL NONPUBLIC REHABILITA ...

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Title: Medical Board 2008 - August - Licensure Committee Action Item Agenda Item 2a2 Applicant #688

Description: Medical Board 2008 - August - Licensure Committee Action Item Agenda Item 2a2 Applicant #688 Licensure Committee Proposed Non-Public Non-Disciplinary Rehabilitation Order August 28, 2008

Document: ... cooperation with board staff or representatives change of address notification Violation constitutes unprofessional conduct modification or termination request after one year 1 March 13, 2007

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Title: Medical Board 2008 - August - Licensure Committee Action Item Agenda Item 2c1 Applicant #711

Description: Medical Board 2008 - August - Licensure Committee Action Item Agenda Item 2c1 Applicant #711 Executive Director Proposed Non-Public Non-Disciplinary Rehabilitation Order August 28, 2008

Document: ... w cooperation with board staff or representatives change of address notification Violation constitutes unprofessional conduct modification or termination request after one year

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Title: Medical Board 2008 - August - Licensure Committee Action Item Agenda Item 2c2 Applicant #697

Description: Medical Board 2008 - August - Licensure Committee Action Item Agenda Item 2c2 Applicant #697 Executive Director Proposed Non-Public Non-Disciplinary Rehabilitation Order August 28, 2008

Document: ... ooperation with board staff or representatives change of address notification Violation constitutes unprofessional conduct modification or termination request after one year

Click to download file

Title: Medical Board 2008 - August - Licensure Committee Action Item Agenda Item 2c2 Applicant #698

Description: Medical Board 2008 - August - Licensure Committee Action Item Agenda Item 2c2 Applicant #698 Licensure Committee Proposed Non-Public Non-Disciplinary Rehabilitation Order August 28, 2008

Document: ... w cooperation with board staff or representatives change of address notification Violation constitutes unprofessional conduct modification or termination request after one year

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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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