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Search Term: 'physician fingerprint form'

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 2006 - October - Licensure Committee Action Item Agenda Item 2 Applicant #509

Description: Medical Board 2006 - October - Licensure Committee Action Item Agenda Item 2 Applicant #509 Licensure Committee Proposed Public Non-Disciplinary Agreed Order October 5, 2006

Document: ... recommend to the full board that the Respondents Physician in Training permit be subject to a public agreed order under the following requirements: o Respondent is to pay an administrative penalty of $1,000.00 o Respondent is to complete 24 hours of formal category 1 CME within 12 months of the eff ...

Click to view in browser - MB-2006-Oct-lc_ai_02_applicant509.pdf
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Title: Medical Board 2006 - October - Licensure Committee Agenda Item 10b

Description: Medical Board 2006 - October - Licensure Committee Agenda Item 10b: Applications for Biennial Recertification as Nonprofit Health Organizations October 2006

Document: ... Health Alliance, Lake Jackson, TX C.H. Wilkinson Physician Network, Houston, TX Cedar Crest Clinic, Belton, TX Centro de Salud Familiar La Fe, Inc., El Paso, TX Childrens Hospital Intensive Care Associates, San Antonio, TX Community Action Corporation of South Texas, Inc., Alice, TX Driscoll Valley ...

Click to view in browser - MB-2006-Oct-lc_ai_10b.pdf
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Title: Medical Board 2006 - October - Licensure

Description: Medical Board 2006 - October - Licensure Committee Meeting Minutes October 5, 2006

Document: ... t. Ms. Garanflo reported that applicants for full physician licensure are required to comply with Rule 163.11 regarding active practice of medicine or an alternative as listed in the rule. She stated that the mini-residency alternative has become the most frequently used, however, some applicants un ...

Click to view in browser - MB-2006-Oct-licensure.pdf
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Title: Form D - Dean's Certification

Description: FORM D Dean's Certification Texas Medical Board Texas PA Board Texas State Board of Acupuncture Examiners 

Document: LICENSURE APPLICATION FORM D DEAN'S CERTIFICATION Version 01/2025 Form D Dean's Certification Texas Medical Board Texas PA Board Texas State Board of Acupuncture Examiners APPLICANT SECTION APPLICANT: Complete this section and t ...

Click to view in browser - Form D 01.2025.pdf
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Title: Form G - Provisional License Application and Sponsorship Form

Description: Form G - Provisional License Application and Sponsorship Form

Document: ��FORM Provisional License Application and Sponsorship Form��LICENSURE APPLICATION FORM ROVISIONAL ICENSE PPLICATION AND PONSORSHIP ORMVersion 08/21/14Pay withpersonal check, cashier’s check or money order (payable through a US bank) _________________________________ ...

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Title: Form I - Medical Professional Liability Claims Report

Description: Form I - Medical Professional Liability Claims Report

Document: Form I: Medical Professional Liability Claims Report Texas Medical Board | Texas PA Board | Texas State Board of Acupuncture Examiners LICENSURE APPLICATION FORM I MEDICAL PROFESSIONAL LIABILITY CLAIMS REPORT Version 01/2025 File one report for each claim/suit that was reported ...

Click to download file

Title: Form J - Clinical Clerkship

Description: FORM J Clinical Clerkship Affidavit & Checklist Texas Medical Board 

Document: FORM J LICENSURE APPLICATION FORM J CLINICAL CLERKSHIP AFFIDAVIT & CHECKLIST Version 08/09/ 2010 Page 1 of 4 Clinical Clerkship Affidavit & Checklist Texas Medical Board Required for all international medical graduates. If you don’t me ...

Click to view in browser - FORM J - 10.23.15.pdf
Click to download file

Title: Rule Changes January 16, 2018

Description: Rule Changes Effective January 16, 2018

Document: ... he amendment s to §182.8 , concer ning Expert Physician Reviewers , removes language from subsection (c) which requires that a report, prepared by an expert reviewer, include the expert's general qualifications; the rule is further amended to add language requiring the expert's specialty are ...

Click to view in browser - rules_20180116.pdf
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Title: Press Release June 2, 2015

Description: TMB suspends Dallas physician

Document: ... or 800 - 248 - 4062 TMB suspends Dallas physician On J u ne 2 , 2015 , a disciplinary panel of the Texas Medical Board temporarily suspended, without n otice, the Texas medical license of Abbie Ewell , M.D., after determining her continuation in the practice of medicin ...

Click to view in browser - pr-20150602.pdf
Click to download file

Title: Press Release May 28, 2014

Description: Texas Physician Assistant Board suspends Fort Worth physician assistant

Document: ... 512 - 305 - 7030 or 800 - 248 - 4062 Texas Physician Assistant Board suspends Fort Worth physician assistant On May 28 , 2014, a disciplinary panel of the Texas Physician Assistant Board temporarily suspended, without notice, the Texas physician assistant license of Rodger Daniel Reid ...

Click to view in browser - pr-20140528.pdf
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Title: Press Release March 2, 2018-1

Description: TMB suspends Seguin physician (Fadal)

Document: FOR IMMEDIATE RE/EASE MedLa contact: MeJan *oode MeJan.*oode@tmb.state.t[.us  TMB suspends SeJuLn pK\sLcLan On MarcK 1 201 a dLscLplLnar\ panel of tKe Te[as MedLcal Board temporarLl\ suspended  ZLtKout notLce tKe Te[as medLc ...

Click to view in browser - pr-20180301-1.pdf
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Title: Form S - Disciplinary Action History Section

Description: Yes response to any of the questions in the Disciplinary Action History Section 

Document: �� FORM S��____________________________________________________________Applicant’s SignatureDate_____________________________________________Printed nameLICENSURE APPLICATION FORM S DISCIPLINARY ACTIONHISTORY ...

Click to view in browser - FORM_S_08_27_14.pdf
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Title: Medical Board 2007 - April - Licensure Committee Action Item Agenda Item 2a Applicant #542

Description: Medical Board 2007 - April - Licensure Committee Action Item Agenda Item 2a Applicant #542 Licensure Committee Proposed Non-Public Non-Disciplinary Rehabilitation Order April 12, 2007

Document: ... to the full board that the applicant be granted a Physician in Training permit under a non-public, non-disciplinary rehabilitation order that includes the requirements: o Submit to an independent psychiatric evaluation by a forensic psychiatrist appointed by the Executive Director and follow any rec ...

Click to view in browser - MB-2007-April-AI-02a-542.pdf
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Title: Medical Board 2007 - April - Licensure Committee Agenda Item 10a

Description: Medical Board 2007 - April - Licensure Committee Agenda Item 10a: Applications for Initial Certification as Nonprofit Health Organization

Document: ... hcare Group, Inc., Paris, TX 2. SJ Medical Center Physician Group, Inc., Houston, TX 3. SMG Signature Medical Group, Dallas, TX

Click to view in browser - MB-2007-April-AI-10a.pdf
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Title: Medical Board 2007 - April - DPRC

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

Document: ... dments to the following chapters: A. Chapter 164, Physician Advertising, to include amendments to §164.4, Board Certification, to set forth requirements for advertising a medical specialty; B. Chapter 165, Medical Records , to include amendments to §§165.1, Medical Records, and 165.5, Transfer and D ...

Click to view in browser - MB-2007-April-dprc.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 ... ”