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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: Physician Statistics 2014 Jan - County T-V

Description: Physician Statistics 2014 Jan - Physicians by County T-V

Document: COUNTY SPECIALTY MD DO TOTAL TARRANT ADMINISTRATIVE MEDICINE 6 6 AEROSPACE MEDICINE 3 1 4 ALLERGY 5 5 ALLERGY AND IMMUNOLOGY 15 15 ANATOMIC PATHOLOGY 1 1 ANATOMIC/CLINICAL PATHOLOGY 7 7 ANESTHESIOLOGY 138 21 159 ANESTHESIOLOGY - PAIN MANAGEMENT 5 2 7 BREAST IMAGING 1 1 CARDIAC ELECTROPHYSIOLOGY ...

Click to view in browser - doc-stats-2014-jan-county-t-v.pdf
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Title: Physician Statistics 2014 Jan - County W-Z

Description: Physician Statistics 2014 Jan - Physicians by County W-Z

Document: COUNTY SPECIALTY MD DO TOTAL WALKER ANATOMIC/CLINICAL PATHOLOGY 1 1 ANESTHESIOLOGY 2 1 3 ANESTHESIOLOGY - PAIN MANAGEMENT 1 1 CHILD AND ADOLESCENT PSYCHIATRY 1 1 DERMATOLOGY 1 1 EMERGENCY MEDICINE 1 2 3 FAMILY MEDICINE 1 1 FAMILY PRACTICE 12 2 14 FAMILY PRACTICE - EMERGENCY MED 1 1 GENERAL PRACTIC ...

Click to view in browser - doc-stats-2014-jan-county-w-z.pdf
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Title: Pain Management Clinics - Spreadsheet of Current Certificate status

Description: Pain Management Clinics - Spreadsheet of Current Certificate status

Document: ... cal order by last name of the clinic's registered physician owner. You can use Ctrl+F to search for an individual. Hold down Ctrl and F at the same time. Current owner/operator Pain Management Certificate # Clinic Name Clinic City Certificate Issue Date Certificate Expiration Date Certific ...

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Title: PA Board 2013 November - Full Board Minutes

Description: PA Board 2013 November - Full Board Minutes

Document: TEXAS PHYSICIAN ASSISTANT BOARD BOARD MEETING November 22, 2013 The meetin g was called to order at 11: 24 a .m. by Margaret K. Bentley , Presiding Officer . Board members present were Reginald C. Baptiste, M.D. ; Linda Contreras , PA - C; Teralea Jones, PA - C; ...

Click to view in browser - PA-2013-November-Full-Board.pdf
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Title: PA Board 2014 March - Disciplinary/Ethics

Description: PA Board 2014 March - Disciplinary/Ethics Committee Minutes: Agenda Item 02 - PHP Report; Agenda Item 06 - Case List/Attorney Dismissals

Document: ... n regarding referrals and reports from the Texas Physician Health Program. The new Exe cutive Director, Dr. John B. “Brad” Fitzwater, MD, was introduced to the committee. Dr. Fitzwater working and requested additional guidance on. Ms. Chapman moved, an d Dr. Koo seconded ...

Click to view in browser - PA-2014-March-DE-Committee-Minutes.pdf
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Title: PA Board 2014 March - Licensure Committee

Description: PA Board 2014 March - Licensure Committee Minutes

Document: ... lternatively the applicant may be granted a full physician assistant license under an Agreed Order subject to the same terms and conditions offered for the supervised temporary license. This reco mmendation is due to the applicant ’s time out of practice as a physician assistant since 1988 ...

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Title: HB 12 (2013) - Staff Compensation Information

Description: HB 12 (2013) - Staff Compensation Information

Document: ... ry supplement if the Executive Director is both a physician and an attorney: 12,000 12,000 Maximum 134,210 Market Average for Compensation of Similar Executive Directors: Public Sector In the General Appropriations Act, the TMB Executive Director is a Group 4 with a salary range of $106,500 to 167 ...

Click to view in browser - TMB_FY13_HB12_Report.pdf
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Title: Medical School Codes

Description: Medical School Codes (2025)

Document: >ôæŘŪÍŘƅώ͑͏͔͑„ÍČôώ͐ A[AAaA ͐͏͑ ˜bI«ϙi>ϙA[AAaAϙ‹CFϙi>ϙa("ϠϙI‡aIb@FAa ͐͏͓ I‡aIb@FAaϙa("ϙCi[[ϠϙI‡aIb@FAaϙϼ(³“IbC“Ͻ ͐͏͕ ˜bI«ϙi>ϙ‹i˜“Fϙ ...

Click to view in browser - 2025-02-25_Med-sch-codes.pdf
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Title: Out-of-State Telemedicine License Eligibility Checklist

Description: Out-of-State Telemedicine License Eligibility Checklist

Document: ... ded for cause, revoked or subject to another form of discipline in a state or territory of the United States, Canada, or a uniformed service of United States. an investigation or proceeding pending for the restriction, cancellation, suspens ion, revocation, or other discipline of the ...

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Title: Physician Emeritus Retirement Request Form

Description: ... equest the emeritus retirement status, a licensed physician must submit a notarized retirement request form

Document: 7 (;$6 0 (',&$/ %2$5' ȱȱ ȱ˜ŒŠ’˜—ȱ ›ŽœœDZȱŠ’•’—ȱ ›ŽœœDZȱ˜&#x ...

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Title: Pain Management Clinic - Change of Address Form

Description: ... ress of a registered clinic, please complete this form and submit with the required materials.   *If the business is owned by more than one physician, the primary physician owner listed on the certificate must be the one to complete and sign this form. ...

Document: 7 H[DV 0HGLFDO %RDUG 0 $,/,1* $ ''5(66  32 % 2;  ‡ $ 867,1 7;  3 +21(   ...

Click to view in browser - PMC_Change_of_Address 10-2022 update.pdf
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Title: Press Release April 22, 2014 - 1

Description: TMB suspends San Antonio physician

Document: ... 00 - 248 - 4062 TMB su spends San Antonio physician On April 22 , 2014, a disciplinary panel of the Texas Medical Board temporarily suspended, without notice, the Texas medical license of Laura A. Suarez , M.D., after determining her continuation in the practice of medi ...

Click to view in browser - pr-20140422_1.pdf
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Title: Press Release April 22, 2014 - 2

Description: TMB suspends Tahoka physician

Document: ... 800 - 248 - 4062 TMB su spends Tahoka physician On April 22 , 2014, a disciplinary panel of the Texas Medical Board temporarily suspended, without notice, the Texas medical license of Charles Carroll Bittle , M.D., after determining his continuation in the practice ...

Click to view in browser - pr-20140422_2.pdf
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Title: NCT Supervision Form

Description: ... cedures under the supervision of a licensed Texas physician must be registered with the Texas Medical Board as required under Chapter 194 of the board rules. The physician must also be registered with the board to supervise the non-certified technician. ...

Document: ... \n \r      I am submitting this form to notify the Board that my relationship with the NCT named above has been or will be terminated. Yes No _________________________ Termination Date  I hereby certify that I am the per ...

Click to view in browser - NCT Supervision Form - 2017.pdf
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Title: Medical Board 2014 - May - Licensure Committee

Description: Medical Board 2014 - May - Licensure Committee Minutes

Document: ... he applicant be privately referred to the Texas Physician Health Program (TPHP) and u pon resolution with the TPHP be granted an unrestricted license . Dr. Bhatia seconded the motion. All others voted in favor. The motion passed. Applicant # 1501 appeared before the Committee in executi ...

Click to view in browser - MB-2014-May-Licensure-Minutes.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 ... ”