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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

Title: Medical Board 2023 - December - Licensure Committee Minutes

Description: Medical Board 2023 - December - Licensure Committee Minutes

Document: ... Director. There are none. Agenda Item 2b. Physician licensure applicants to be licensed. Ms. Unterborn reported that there were 198 Physician Licensure applicants who met all the requirements to be considered for permanent licensure by the full Board . Dr. De Loach moved to ...

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Title: Medical Board 2023 - October - Full Board Minutes

Description: Medical Board 2023 - October - Full Board Minutes

Document: ... luded in the newest bulletinAgenda Item #, Report Physician Assistant Liaison. Nothing to report.Agenda Item #Consideration and possible action regarding pending litigation. Mr. Freshour gave a report on pending litigation. Agenda Item #2, Report on Temporary Suspension Hearings. A report on Tempora ...

Click to view in browser - MB-2023-October-Full-Board-Minutes.pdf
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Title: Press Release December 15, 2023

Description: TMB disciplines 18 physicians at December meeting

Document: ... December meeting , bringing the total number of physician licenses issued in Fiscal Year 202 4 to 1,850 . DISCIPLINARY ACTIONS UNPROFESSIONAL CONDUC T Almono, Juan Cartagena, M.D. Lic. No. BP10077177, El Paso On December 8, 2023, the Board and Juan Cartagena Almono, M.D., entere ...

Click to view in browser - pr-20231215.pdf
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Title: PAYEE CHANGE FORM 74-157

Description: Payee Change Request form 74-157

Document: ... ge For Agency Use Only ( )( ) State of Texas This form is used only to change existing information for one payee number. To set up either new accounts or additional mail codes, Section 1, Section 2, and/or Section 3. 1. Texas Identi�cation Number (TIN) payee’s 11-digit 2. ...

Click to view in browser - PAYEE CHANGE FORM 74-157 - 01-2024.pdf
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Title: DIRECT DEPOSIT FORM 74-176

Description: Direct Deposit Authorization Form 74-176

Document: Form 74-176 (Back)(Rev.9-21/21) Instructions for Direct Deposit AuthorizationYou have certain rights under Chapters 552 and 559, Government Code, to review, request and correct information we have on file about you. To request information for review or to request error correction, use the contac ...

Click to view in browser - DIRECT DEPOSIT FORM 74-176.pdf
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Title: Medical Board 2023 - December - DPRC Committee Minutes

Description: Medical Board 2023 - December - DPRC Committee Minutes

Document: ... deration and approval of membership of the Expert Physician Panel. Dr. Tibbelsmoved and Ms. Morganseconded to grant the approval of appointments on the Expert Panel members list. The motion carried.Agenda Item #5.Discussion and Possible Action Regarding Review of Probationers’ AppearancesThere ...

Click to view in browser - MB-2023-Dec-DPRC-Committee-Minutes.pdf
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Title: Press Release December 21, 2023-2

Description: TMB suspends Roseville, CA physician (Haider)

Document: ... 48 - 4062 TMB suspends Roseville, CA physician On December 20 , 2023, a disciplinary panel of the Texas Medical Board temporarily suspended, without notice, the Texas medical license of Khursheed Haider , M.D. (Lic. No. T0800 ), after determining his continuation in the prac ...

Click to view in browser - pr-20231221-2.pdf
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Title: Press Release December 21, 2023-1

Description: TMB restricts Frisco physician (Gallagher)

Document: ... 800 - 248 - 4062 TMB restricts Frisco physician On December 18 , 2 023 , a disciplinary panel of the Texas Medical Board temporarily restricted, with notice, the Texas medical license of M ic hael Patrick Gallagher , M.D., (Lic. No. N1322 ) after determining his continuatio ...

Click to view in browser - pr-20231221-1.pdf
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Title: TMB Bulletin December 2023

Description: TMB Bulletin December 2023

Document: ... ve year, the agency has achieved a new record in physician licensing. 9nding the �scal year on August 31, 2023, we issued a staggering 7,060 licenses. This sur- passes our previous record and reaches a remarkable milestone of over 100,000 Texas licensed physicians, which includes over ...

Click to view in browser - Bulletin-December-2023.pdf
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Title: Press Release January 22, 2024

Description: TMB restricts Houston physician (Marquis)

Document: ... 800 - 248 - 4062 TMB restricts Houston physician On January 18, 2024 , a disciplinary panel of the Texas Medical Board temporarily restricted, with notice, the Texas medical license of Alejandro Felix Marquis , M.D., (Lic. No. K1248 ) after determining his continuation in the ...

Click to view in browser - pr-20240122.pdf
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Title: PA Statistics 2024 Jan - Physician Assistants by School of Graduation

Description: PA Statistics 2024 Jan - Physician Assistants by School of Graduation

Document: PhysicianAssistantsbySchoolJanuary2024 PAPROGRAM MALE FEMALE UNKNOWN TOTAL BAYLORCOLLOFMED,SCHOFHLTHPROFESSIONS,HOUSTON,TX 111 503 1 615 FORTSAMHOUSTON/UNIVOFNEBRASKA-INCONJUNCTION 149 37 0 186 FORTSAMHOUSTON/UNIVOFOKLAHOMA-INCONJUNCTION 11 2 0 13 HARDIN-SIMMONSUNIV,ABILENETX 24 84 0 108 INTERSERVIC ...

Click to view in browser - DemoBySchool_PA_2024_January.pdf
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Title: PA Statistics 2024 Jan - Physician Assistants by In and Out of State

Description: PA Statistics 2024 Jan - Physician Assistants by In and Out of State

Document: PhysicianAssistantsInandOutofState January2024Statisticsareincludedforlocation(basedonpracticeaddress),degree,andnumberoflicenseeswhoareTexas,U.S.orforeignmedicalgraduates,methodoflicensure,gender,typeoflicenseheld,andrace/Hispanicorigin.Note:topromoteconsistencyacrossagencyreports,thedemographicrep ...

Click to view in browser - DemoByInOutOfState_PA_2024_January.pdf
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Title: PA Statistics 2024 Jan - Physician Assistants by Gender and County

Description: PA Statistics 2024 Jan - Physician Assistants by Gender and County

Document: PhysicianAssistantsbyCountyJanuary2024 COUNTY MALE FEMALE UNKNOWN TOTAL ANDERSON 8 7 0 15 ANDREWS 0 1 0 1 ANGELINA 17 5 0 22 ARANSAS 2 0 0 2 ARCHER 0 0 0 0 ARMSTRONG 0 0 0 0 ATASCOSA 2 3 0 5 AUSTIN 0 2 0 2 BAILEY 0 1 0 1 BANDERA 0 4 0 4 BASTROP 7 16 0 23 BAYLOR 1 0 0 1 BEE 3 2 0 5 BELL 100 131 0 231 ...

Click to view in browser - DemoByCounty_PA_2024_January.pdf
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Title: PA Statistics 2024 Jan - Physician Assistants by Age

Description: PA Statistics 2024 Jan - Physician Assistants by Age

Document: PhysicianAssistantsbyAgeJanuary2024 AGEGROUP MALE FEMALE UNKNOWN TOTAL 0-30 366 2094 0 2460 31-35 511 2076 2 2589 36-40 566 1755 2 2323 41-45 439 1281 2 1722 46-50 486 825 3 1314 51-55 442 545 3 990 56-60 321 306 2 629 61-65 257 261 2 520 66-70 157 151 0 308 71-75 94 38 1 133 76-120 41 8 0 49 TOTAL ...

Click to view in browser - DemoByAge_PA_2024_January.pdf
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Title: Physician Statistics 2024 Jan - Physicians In and Out of State

Description: Physician Statistics 2024 Jan - Physicians In and Out of State

Document: PhysiciansInandOutofState January2024Statisticsareincludedforlocation(basedonpracticeaddress),degree,andnumberoflicenseeswhoareTexas,U.S.orforeignmedicalgraduates,methodoflicensure,gender,typeoflicenseheld,andrace/Hispanicorigin.Note:topromoteconsistencyacrossagencyreports,thedemographicreportsnowin ...

Click to view in browser - DemoByInOutOfState_PHY_2024_January.pdf
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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 ... ”