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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 2024 - December - Full Board Minutes

Description: Medical Board 2024 - December - Full Board Minutes

Document: ... n the legislative session. Agenda Item #1, Report Physician Assistant Liaison. Karrie Crosby, PAwas present.Agenda Item #Consideration and possible action regarding pending litigation. Mr. Freshour provided an update on pending litigation.Agenda Item #2Report on Temporary Suspension Hearings. A repo ...

Click to view in browser - MB-Dec-2024-Full-Board-Minutes.pdf
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Title: Physician Assistant Board Committee List

Description: Physician Assistant Board Committee List

Document: TEXAS PHYSICIAN ASSISTANT BOARD Rev 8.7. 2023 EXECUTIVE COMMITTEE Karrie Crosby, Presiding Officer Melinda Gottschalk, PA - C, Board Secretary Jennifer L. Clarner, PA - C, Licensure Committee Chair Clay Bulls, PA - C - Discipline Committee Chair LICENSURE COMMITTEE Jennifer ...

Click to view in browser - PA-Committee-List-Aug-2023.pd.pdf
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Title: Press Release April 23, 2021-2

Description: TMB suspends Beaumont physician (Holmes)

Document: ... or 800 - 248 - 4062 TMB suspends Beaumont physician On April 23, 2021 , a disciplinary panel of the Texas Medical Board temporarily suspended, without notice, the Texas medical license of Michael Wesley Holmes , M.D. (Lic. No. E7118 ) , after determining his continuation in ...

Click to view in browser - pr-20210423-2.pdf
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Title: Military Service Member Fee Waiver Request Form

Description: Senate Bill 807, effective on 9/1/2015, allows for the waiver of application fees for any military service member, military spouse or military veteran.

Document: ... Military Applicant Fee Waiver Request Form Applicant Name : Please print your full name as it will appear on your application Applicant Address : Applicant Email:_ ______________________________ ____ ...

Click to view in browser - MFW Form 01.2025.pdf
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Title: PIT Holders Report Form - Word

Description: PIT Holders Report Form Board rule §171.5 states in part that each PIT holder shall report in writing to the Executive Director of the Board, the following events within thirty days of their occurrence. 

Document: To:Physician in Training (PIT) Permit Holders From:Texas Medical Board, Licensure Division - Physician in Training Section Subject:PIT Holder Reports Board rule ยง171.5 states in part that each PIT holder shall report in writing to the Executive Director of the Board, the following events withi ...

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Title: Acupuncture 2001 May, Executive

Description: Acupuncture 2001 May, Executive

Document: ... mbership of the Executive Committee would include physician members, acupuncturist members, and public members. Dr. Heinze moved, Mr. Chang seconded, and the motion passed to go into executive session at 9:10 a.m. under the authority of the Open Meetings Act, Section 551.071 of the Government Code, ...

Click to view in browser - ACC-2001-May-Executive.pdf
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Title: Acupuncture 2001 May, Full Board

Description: Acupuncture 2001 May, Full Board

Document: ... s needed to have at least two acupuncturists, one physician, and one public members on the committee. Mr. Garcia moved to table the discussion until further research is done. Following discussion, Mr. Garcia withdrew his motion. A vote was taken on Ms. Newbolds motion. The motion passed. There was d ...

Click to view in browser - ACC-2001-May-Full_Board.pdf
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Title: Acupuncture 2002 January, Lic Min

Description: Acupuncture 2002 January, Lic Min

Document: ... General Counsel; Tim Speer, Manager, Acupuncture/Physician Assistant Division; and various other staff were also present. Agenda item #2, Executive Session, was considered. Mr. Garcia moved, Dr. Lin seconded, and the motion passed at 11:16 a.m. to go into executive session for private consultation ...

Click to view in browser - ACC-2002-Jan-lic_min.pdf
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Title: List of 162.001(b) Non-Profit Health Organizations

Description: List of 162.001(b) Non-Profit Health Organizations, as of 04/28/2025 *NOTE: All organizations ever certified are listed regardless of current status. Only those without a decertification date are considered active. Decertifications are due to non-renewal. ...

Document: CONTACT TITLE 1960 PHYSICIAN ASSOCIATES JENNFIER RIZVI PRESIDENT/TREASURER 837 CYPRESS CREEK PARKWAY HOUSTON TX 24 HOUR PHYSICIANS, INC JOHN MIDDLEBROOK, MD PRESIDENT 10077 GROGANS MILL ROAD THE WOODLANDS 3-C NEUROSURGERY, INC. JEFFREY CATTORINI, MD CHAIRMAN OF THE BOARD 3020 CANTON ...

Click to view in browser - 162.001 (B) Weblist 04.28.2025.xlsx
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Title: List of 162.001(c) Non-Profit Charitable Health Centers

Description: List of 162.001(c) Non-Profit Charitable Health Centers as of 4/28/2025 *NOTE: All organizations ever certified are listed regardless of current status. Only those without a decertification date are considered active. Decertifications are due to non-renewal. ...

Document: ... FT WORTH 1500 SOUTH MAIN ST JERRY ANDERSON JPS PHYSICIAN GROUP INC 424 HAHLO DANIEL MONTEZ HOUSTON COMMUNITY HEALTH CENTERS, INC 7001 CORPORATE DR. #120 ANDREA CARACOSTIS HOPE CLINIC WACO 1600 PROVIDENCE DRIVE DR. JACKSON GRIGGS HEART OF TEXAS COMMUNITY HEALTH CENTER, INC. BEEVILLE 40 ...

Click to view in browser - 162.001(C) Weblist 04.28.2025.xlsx
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Title: Physician Statistics 2021 May - Specialty

Description: Physician Statistics 2021 May - Physicians by Specialty

Document: M.D.'SD.O.'SUNKNOWNTOTALRADIOLOGY7007130013MEDICINE214025AN1102FP75012 T 262310293RADIOLOGY3003SURGERY1001NEUROLOGY2002 PSYCHIATRY33118034915150156(PEDIATRICS)1001CYTOGENICS1001GENETICS110011GENETICS1001NEUROPHYSIOLOGY610749205120330206SURGERY2002SURGERY7007SURGERY295034SURGERY9009(SURGERY)131014(TR ...

Click to view in browser - doc-stats-2021-May-Specialty.pdf
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Title: Physician Statistics 2021 May - School of Graduation

Description: Physician Statistics 2021 May - Physicians by School of Graduation

Document: STATETOTALGalveston48346075441Houston2994Tech147Dallas43856034988Antonio41454874632Houston40924944586Tech24113122723A&M15201651685Worth26243152939Total27152350130653SCHOOLMALEFEMALEUNKNOWNTOTAL36471793154412200129023492937401673445154304988280418280463227561830045861812911027239317540168517371200229 ...

Click to view in browser - doc-stats-2021-May-school.pdf
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Title: Form F - Faculty Temporary License Verification

Description: Texas Medical Board Form F - Faculty Temporary License Verification 

Document: T EXAS M EDICAL B OARD Form F Faculty Temporary License Verification This form is to be completed for physician licensure applicants who will be using time worked under a Faculty Temporary License (FTL) to satisfy the postgraduate training requirement for full licensure in the state of ...

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Title: PA Statistics 2021 Sept - Age

Description: PA Statistics 2021 Sept - Physician Assistant by Age

Document: PhysicianAssistantsbyAgeSeptember2021 AGEGROUP MALE FEMALE UNKNOWN TOTAL 0-30 286 1774 1 2061 31-35 461 1841 3 2305 36-40 470 1457 2 1929 41-45 430 1016 1 1447 46-50 479 663 4 1146 51-55 398 400 3 801 56-60 309 302 2 613 61-65 252 242 1 495 66-70 146 121 1 268 71-75 87 22 0 109 76-120 28 7 0 35 TOTA ...

Click to view in browser - pa-stats-2021-Sept-age.pdf
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Title: LCDC/Substance Abuse Counselor II

Description: LCDC/Substance Abuse Counselor II

Document: Texas Physician Health ProgramInternal and External Job Vacancy NoticeTexas Physician Health Program DepartmentJob Posting:PHPOpening Date: October 19, 202No. of Openings: 1Monthly Salary: $4,500.00Closing Date: November 2, 202 Type of Employment: FullTimeWIT#:14874137CAPPS#:0001 ...

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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 ... ”