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“... 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 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 ... ”
“... 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 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. ”
“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 ... ”
“DIRECT DEPOSIT FORM 74-176
PAYEE CHANGE FORM 74-157
APPLICATION FOR TX ID NUMBER ”
“... ;
Acudetox Continuing Education Exemption Request Form ”
“... 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 ... ”
“...
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 ... ”
“... , 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 ... ”
Description: Application for initial certification: Certified 162.001(b) nonprofit Health Organization
Document: ... erm "Supplier" as used in this letter means (i) a physician retained to provide medical services to or on behalf of the Corporation, or (ii) any other person providing or anticipated to provide services or supplies to or on behalf of the Corporation in excess of $10,000 during a twelvemonth period.F ...
Description: TMB disciplines 23 physicians at December meeting
Document: ... se and desist order.
The
Board issued
208
physician licenses at the
December
meeting, bringing the total number of physician licenses issued
in
FY
1
9
to
1,115.
No rules were adopted at the December meeting.
DISCIPLINARY ACTIONS
QUALITY OF CARE
Adair, Maureen L., M. ...
Description: PA Statistics 2021 May - Physician Assistant by In and Out of State
Document: GENDERINSTATEOUTSTATETOTA
L
60211604762527085863294UNKNOWN171188746219110937PROGRAMINSTATEOUTSTATETOTA
L
GRADUATE537810436421335811474505101118746219110937RACETOTA
L
originnonNATIVE954063ASIAN98800889AMERICAN175160533ISLANDER221023OTHER3641490513UNKNOWN0000WHITE11755550067251576717008746
RACETOTA
L
...
Description: In order to request cancellation, a licensed physician must submit a notarized request form.
Document:
7
(;$6
0
(',&$/ %2$5'
ȱȱ
ȱ˜ŒŠ’˜—ȱ ›ŽœœDZȱŠ’•’—ȱ ›ŽœœDZȱ˜&#x ...
Description: PA Board 2020 November - Full Board Minutes
Document: exas Physician Assistant BoardBOARD MEETINGNovember 6The meeting was called to order on FridayNovember at a.m. by Karrie L Crosby,C, Presiding Officer.
Agenda item #5, Physician Assistant Liaison Report. Ms. Millsprovided information regarding her attendance at the Texas Medical Board meeting on Oc ...
Description:
Document: ... oney order
(
payable through a US bank
) to this form.
o
S
ubmit fingerprints for state and national criminal history background checks
after Board receipt of application.
Name:
Provide your name as it is listed on either your current driver license issued by a state driver license burea ...
Description:
Document: ... LICANT:
Please fill out all information on this form, and mail this form along with the
required supplemental documentation with the $30.00 application fee to the address listed on this application. Once
the application and accompanying documentation have been r
eceived, a licensing analyst wil ...
Description: ... o withdraw my application for licensure in Texas: Physician Assistant, Physician in Training (Internship, Residency, Fellowship Training), Surgical Assistant, Acudetox Specialist, Acupuncturist, Physician (M.D. or D.O.), Medical Radiologic Technologist, Non-Certified Radiologic Technician, Respirato ...
Document: ...
Non
-
Certified Radiologic Technician
Physician (M.D. or D.O)
Respiratory Care Practitioner
Physician Assistant
Physician in Training (Internship, Residency & Fellowship Training)
Perfusionist
Surgical Assistant
I wish to withdraw my ...
Description: List of Approved Certifying Boards
Document: ... Board of Urgent Care Medicine American Board of Physician Specialties - Emergency Medicine American Board of Cosmetic Surgery American Board of Pain Medicine Exp date United Council of Neurologic Subspecialties
• Autonomic Disorders
• Behavioral Neurology and Neuropsychiatry
...
Description: ... order to request the Inactive status, a licensed physician assistant must submit a notarized request form.
Document:
7
(;$6
3
+
Description: TMB restricts Deer Park physician (Brown)
Document: ... 0
-
248
-
4062
TMB
restricts
Deer Park
physician
On
August 13
, 2018
, a disciplinary panel of the
Texas Medical Board
temporarily
restricted
, with
notice, the Texas medical license of
George Erwin Brown
,
Jr., M.D. (Lic. No. L8288
),
after
determining his continuation in ...
Description: Texas Medical Board - Complaint Form: The Board investigates complaints against physicians, physician assistants, acupuncturists, surgical assistants, respiratory care practitioners, medical radiologic technologists, medical physicists, and perfusionists. If you wish to complain to the Board, please ...
Document: FORM TMB
-
EN
-
001
-
A
Licensee Complaint Form
Page
1
of
5
Texas Medical Board Licensee Complaint Form
NOTICE
IF IT IS DETERMINED THE INDIVIDUAL OR PRACTICE IDENTIFIED IN YOUR
COMPLAINT IS NOT REGULATED BY THE TEXAS MEDICAL BOARD THAT
INFORMATION, INCLUDING YOUR IDENTITY, MUST B ...
Description: TMB Consumer Brochure (2022)
Document: ... s, three DOs and seven public members. The Texas
Physician Assistant Board is made up of nine members: three physicians, three physician assistants and three
public members. The Texas State Board of Acupuncture Examiners also has nine members: four acupuncturists,
two physicians and three public ...
Description: Pre-Licensure Criminal History Evaluation Request
Document: ... icensure
Criminal History E
valuation
Request
Form 01.
2025
Staple Check Here
APPLICATION TO REQUEST
PRE
-
LICENSURE
CRIMINAL HISTORY EVALUATION
Mailing Address: P
.
O
.
Box 2029, Austin, TX 78768
-
2029
o
Submit
PRIOR
to applying for licensure. Established ...
Description:
Document: ...
The documentation submitted in response to each form must have the appropriate form
attached as a cover sheet to
the appropriate documentation.
Form Name
Purpose
Completed By
Form
NCT
1
Program General Information
Program Director
Form
NCT2
Program Outl ...
“... g them. If you have any questions about the fingerprint requirements or the renewal process, please contact us at Registrations@tmb.state.tx.us. ”
I didn’t receive my email renewal reminder. How can I find that?
Email renewal reminders are sent 60-90 days before the expiration date, from no.reply@tmb.state.tx.us. We recommend that you add this email address to your contacts list so they will not be lost. Please check your junk and spam mail for these notices if you are not receiving them. If you have any questions about the fingerprint requirements or the renewal process, please contact us at Registrations@tmb.state.tx.us.
“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 ... ”
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 renewal notice. If you have not received your email renewal notice, or you would like to complete the fingerprint requirement early, please contact us at Registrations@tmb.state.tx.us and we will provide you with your ID number, and instructions that include the TMB service code.
“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 ... ”
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 instructions for your fingerprint submission.
*Please note that completing your fingerprints prior to your renewal period will NOT enable you to renew your license early. Your registration window will only open within 60-90 days of your license expiration date.