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Search Term: 'physician fingerprint form'

IMLC FAQ - Tab #1 General

“... st by submitting a completed Application Withdraw Form to Compact-General@tmb.state.tx.us. Once that has been received and processed, you can submit your application through the IMLCC. ”

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

Specialties

“This section of the physician profile contains the physician reported primary and secondary areas of practice. ”

This content is located on the following page(s): Physician Profile Descriptions

Out of state addresses - not able to register delegation online

“... accept delegation locations outside of Texas. Any physician, PA or APRN who does not have a TX practice address and needs to register prescriptive delegation, please contact the Registration Department at Registrations@tmb.state.tx.us .   ”

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

CME - MD - NEW CME Requirements - Tab 5

“... were multiple bills passed requiring physicians, physician assistants and other licensees to complete certain specific opioid related continuing medical education.  These new CME requirements outlined above apply to the renewal of a license on or after September 1, 2020.     New ... ”

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

Education

“This section of the physician profile contains the physician reported name, location and graduation date of all medical schools attended by the physician.   Also displayed is the physician reported graduate medical education taken in the US or Canada, including the following: Program name, Loca ... ”

This content is located on the following page(s): Physician Profile Descriptions

E-Prescribing Waiver

“... l condition; or before January 1, 2021.   A physician may apply for a waiver from the electronic prescribing requirement by: submitting a waiver request to the TMB and providing required information, and demonstrating circumstances necessitating a waiver from the requirement, including econo ... ”

This content is located on the following page(s): Renewal - Electronic Prescribing Waiver

Specialty Board Certification

“This section of the physician profile contains any physician reported specialty certifications issued by a board that is a member of the American Board of Medical Specialties or the Bureau of Osteopathic Specialists. ”

This content is located on the following page(s): Physician Profile Descriptions

Renewal Fingerprinting information

“Several types of licensees are required to submit their fingerprints for state and national criminal history background checks prior to renewal, per statutory requirements. Fingerprinting services are provided through IdentoGo by IDEMIA (formerly known as MorphoTrust USA, LLC) for a fee (see the Fin ... ”

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

Expert Consultants

“DIRECT DEPOSIT FORM 74-176 PAYEE CHANGE FORM 74-157 APPLICATION FOR TX ID NUMBER ”

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

CE for AD Tab 2 - Exemptions

“... ; Acudetox Continuing Education Exemption Request Form

This content is located on the following page(s): CAE for Acudetox Specialists

Gold Designated Practice Status

“... andum of understanding with the patient's primary physician for treating and managing the patient           OR        If a clinic is currently certified by TMB as a Pain Management Clinic, the clinic must be operated by physicians who currently hol ... ”

This content is located on the following page(s): Gold Designated Practice

Physician Fingerprint FAQs

“... When do we have to do it? Can I complete the fingerprint requirement early? Can I get my fingerprints done anywhere? What is my Board issued 6-digit ID number? What if my Board issued ID number is only 5 digits long? What is the TMB “Service code” for IdentoGo? Why can&rsq ... ”

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

Continuing ED Tracking

“... , and report continuing education coursework. All PHYSICIAN, RESPIRATORY CARE PRACTITIONERS, ACUPUNCTURE, MEDICAL RADIOLOGIC TECHNOLOGISTS, ACUDETOX SPECIALISTS, MEDICAL PHYSICISTS AND SURGICAL ASSISTANTS licensees have access to establish a free, basic account with CE Broker. Beginning Ju ... ”

This content is located on the following page(s): Continuing ED Tracking

Title: Medical Board 2014 - June - Full Board Minutes

Description: Medical Board 2014 - June - Full Board Minutes

Document: ... ess made during the current school year for physician assistant programs and medical schools. Ms. Robinson also gave the status of the outreach programs funded by the Federation of State Medical Boards related to opiate prescribing . Board Calendar Update. 2015 – 2019 Board meet ...

Click to view in browser - MB-2014-June-Full-Board-Minutes.pdf
Click to download file

Title: TMB Legislative Appropriations Request FY 16-17

Description: TMB Legislative Appropriations Request FY 16-17

Document: ... nd is funded through an $80 biennial surcharge on physician license registration (renewal). The purpose of the fund was to The request totals approximately $153,000 in FY 16 which includes salaries for the four additional FTEs (approx. $143,000) as well as one-time employee start-up costs for comput ...

Click to view in browser - TMB_FY16-17_LAR.pdf
Click to download file

Title: PA Board 2014 March - Full Board Minutes

Description: PA Board 2014 March - Full Board Minutes

Document: TEXAS PHYSICIAN ASSISTANT BOARD BOARD MEETING March 7, 2014 The meetin g was called to order at 10:50 a .m. by Margaret K. Bentley , Presiding Officer . Board members present were Reginald C. Baptiste, M.D. ; Anna Chapman; Linda Contreras , PA - C; Jason P. Cooper, PA - ...

Click to view in browser - PA-2014-March-Full-Board.pdf
Click to download file

Title: PA Board 2014 August - Licensure Committee Minutes

Description: PA Board 2014 August - Licensure Committee Minutes

Document: ... full Board that the applicant be granted a Texas physician assistant licens e. The motion died d ue to lack of a second. by the Arizona Board and has not had any other issues in his practice. Mr. Cooper moved to recommend to the full Board that the applicant be gra nted a Texas physic ...

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Title: PA Board 2014 August - Disciplinary/Ethics

Description: PA Board 2014 August - Disciplinary/Ethics Committee Minutes: Agenda Item 02 - PHP Report; Agenda Item 07 - Case List/Attorney Dismissals

Document: ... eeting adjourn. Motion carried at 10:18 .m. Texas Physician Assistant Board Discipline & Ethics Review August 1, 2014 Page Case NoParticipant Details : PHPR ...

Click to view in browser - PA-2014-Aug-DE-Committee-Minutes.pdf
Click to download file

Title: LMRT Documentation Checklist & Eligibility Requirements

Description: LMRT Documentation Checklist & Eligibility Requirements

Document: ... be expired) or birth certificate ☐ DPS/FBI Fingerprint Report All L MRT applicants must submit fingerprints for state and national criminal history background checks. Please see TMB website for instructions . All arrests/charges must be reported on the application no matter how l ...

Click to view in browser - LMRT Documentation Checklist 01.2025.pdf
Click to download file

Title: Medical Board 2014 - August - Licensure Committee Minutes

Description: Medical Board 2014 - August - Licensure Committee Minutes

Document: ... the applicant be privately referred to the Texas Physician Health Program (TPHP) and upon resolution with the TPHP the applicant will be granted an unrestricted p hysician in tr aining permit. “Resolution” for the purposes of this referral shall mean: 1) submitting to an evaluation ...

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Title: Medical Board 2014 - August - DPRC

Description: Medical Board 2014 - August - Disciplinary Process Review Committe Minutes: Agenda Item 02 - TX PHP Report; Agenda Item 07 - List of Potential Expert Panelists; Agenda Item 11 - Legal Dismissals; Agenda Item 11 - Case List

Document: ... n regarding referrals and reports from the Texas Physician Health Program (PHP) . The Executive Director , Dr. John B. Fitzwater , presented the status of PHP’s current caseload to the DPRC. D r. Fitzwater Health Program is currently working and requested additional guidance . ...

Click to view in browser - MB-2014-Aug-DPRC-Minutes.pdf
Click to download file

Title: Medical Physicist Licensure Advisory Committee Member Listing & Terms

Description: Medical Physicist Licensure Advisory Committee Member Listing & Terms (May 2016)

Document: ... October, 29, 2015 - October 29, 2017 Physician, Radiation Oncology Plano Kiran Shah October 29, 2015 - October 29, 2017 Public Member Katy Gregory P. Swanson, M.D. October 29, 2015 - October 29, 2017 Physician, Radiation Oncology Austin ...

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Title: Sample Application - new

Description: Sample Physician Application

Document: Login Physician Licensure Application • Information you enter will be automatically be saved at the end of every page. • You must complete the application within 15 days or your information will be deleted. • Some of the questions may direct you to download a supplem ...

Click to view in browser - PHY_SampleApp 06.2023.pdf
Click to download file

Title: Press Release September 3, 2014

Description: TMB suspends Irving physician

Document: ... 800 - 248 - 4062 TMB su spends Irving physician On August 28 , 2014, a disciplinary panel of the Texas Medical Board temporarily suspended, with notice, the Texas medical license of Kenneth Scott Koeneman , M.D., an Irving physician, after determining his continuat ...

Click to view in browser - pr-20140903.pdf
Click to download file

Title: Press Release September 11, 2014 - 2

Description: TMB suspends Cypress physician

Document: ... 30 or 800 - 248 - 4062 TMB suspends Cypress physician On September 9, 2014, a disciplinary panel of the Texas Medical Board temporarily suspended, without notice, the Texas medical license of Ataur - Rehman Rizwan Khan, M.D., after determining his continuation in the practice of medici ...

Click to view in browser - pr-20140911_2.pdf
Click to download file

Title: Press Release September 11, 2014 - 1

Description: TMB disciplines 41 physicians at August meeting, adopts rule changes

Document: ... on of Board rules, one o rder related to Texas Physician Health Program violation s, and three order s related to inadequate medical records . The Board also took disciplinary actio n against two pain management clinics and a surgical assistant. The Board issued 244 physician li ...

Click to view in browser - pr-20140911_1.pdf
Click to download file

Title: Press Release September 29, 2014

Description: TMB suspends McAllen physician

Document: ... or 800 - 248 - 4062 TMB suspends McAllen physician On September 26 , 2014, a disciplinary panel of the Texas Medical Board temporarily suspended, without notice, the Texas medical license of Raja Nicolas Salameh , M.D., after determining his continuation in the practice of medici ...

Click to view in browser - pr-20140929.pdf
Click to download file

Title: PA Board 2021 July - Full Board Minutes

Description: PA Board 2021 July - Full Board Minutes

Document: exas Physician Assistant BoardBOARD MEETINGJuly 9The meeting was called to order on FridayJulyat a.m. by Karrie L Crosby,C, Presiding Officer. Other board members present were: Melinda Gottschalk, PA Agenda item #5, Physician Assistant Liaison Report. Sauerreported on his attendance of the June 11Me ...

Click to view in browser - PA-2021-July-Full-Board-Minutes.pdf
Click to download file

I didn’t receive my email renewal reminder.  How can I find that?

“... g them.  If you have any questions about the fingerprint requirements or the renewal process, please contact us at Registrations@tmb.state.tx.us. ”

Why can’t I find the IdentGo TMB “Service code” on the TMB website?

“TMB is not legally able to receive fingerprint results for individuals who are not existing applicants or licensees, and is not able to publicly provide the service code. This is why we provide the service code directly to licensees in the detailed instructions that are part of the email renewa ... ”

Can I complete the fingerprint requirement early?

“Yes, you can complete the fingerprint requirement at any point prior to your license expiration date. You do not need to wait for your expiration date. If you wish to submit your fingerprints early, please contact us at Registrations@tmb.state.tx.us and request your 6 digit ID number and i ... ”