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Search Term: 'physician fingerprint form'

Verified Information

“This section of the physician profile contains identifying information previously verified by the TMB, as well as the current status of the physician’s license.   Year of Birth: Birth year of the licensee. License Number: License number for the licensee. Issuance Date: Date ... ”

This content is located on the following page(s): Physician Profile Descriptions

Patient Services

“This section of the physician profile contains physician reports of participation in Medicaid, accessibility and language translation services offered by the physician. ”

This content is located on the following page(s): Physician Profile Descriptions

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: List of Military Spouse Authorization to Practice

Description: List of Military Spouse Authorization to Practice - Senate Bill 1200, effective on 9/1/2019, allows a military spouse to obtain authorization to engage in an occupation or business without obtaining the required license, for not more than three years, if the spouse is currently licensed by anot ...

Document: ... r Natalie HI - R-4478 Crissman Erin Michelle Physician Assistant Campbell James HI - AMD-917 CA - PA55686 NC - 0010-09381 Dosztan Campbell Stephanie Marie LeSaint Jane Physician OH - 35.133016 Grisham OK - 33688 Jones Dana Respiratory Care Practitioner CA - 41140 Wells Beatric ...

Click to view in browser - MSA_web_8-24-2023.xlsx
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Title: TMB FY 20 Operating Budget

Description: TMB FY 20 Operating Budget

Document: ... Enforcement Cases and Complaints 1 ENFORCEMENT 2 PHYSICIAN HEALTH PROGRAM 2 Maintain an Ongoing Public Awareness Program 1 PUBLIC EDUCATION TOTAL, GOAL 2 3 Indirect Administration 1 Indirect Administration 1 INDIRECT ADMIN 2 INDIRECT ADMIN TOTAL, GOAL 3 2.A. Page 1 of 2 EXP2018 $2,823,967 $0 $2,823 ...

Click to view in browser - TMB-FY20-Operating-Budget.pdf
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Title: TMB Strategic Plan FY 21-25 (2020)

Description: TMB Strategic Plan FY 21-25 (2020)

Document: ... lication, renewals, updates and the highly rated physician profile information including public disciplinary actions. Specific licensure applicants can now upload documents electronically through a desktop or mobile portal and licensee s can request license verification electronically. Online ap ...

Click to view in browser - TMB_ Strategic_Plan_FY21-25.pdf
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Title: PA Statistics 2020 May - School of Graduation

Description: PA Statistics 2020 May - Physician Assistants by School of Graduation

Document: PROGRAMINSTATEOUTSTATETOTA L 1492817749085575 L 2914711774681061575CONJUNCTION401700210 70421029164330172386061

Click to view in browser - pa-stats-2020-May-school.pdf
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Title: PA Statistics 2020 May - In and Out of State

Description: PA Statistics 2020 May - Physician Assistant by In and Out of State

Document: GENDERINSTATEOUTSTATETOTA L 57551368712326495043153UNKNOWN171188421187310294PROGRAMINSTATEOUTSTATETOTA L GRADUATE5156905606132419674208241258421187310294RACETOTA L originnonNATIVE948057ASIAN88190827AMERICAN164930509ISLANDER121022OTHER3771480525UNKNOWN0000WHITE10775404064811488693308421 RACETOTA L or ...

Click to view in browser - pa-stats-2020-May-in-out-state.pdf
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Title: PA Statistics 2020 May - Gender

Description: PA Statistics 2020 May - Physician Assistant by Gender

Document: FEMALEUNKNOWNTOTA L 870150101134017 CRANE010110012103210328582221109010121034811101590404DICKENS1001DIMMIT020201010101161803478820160716023500510013306110201012899012702021001020228731102GARZA010144081304102103114270412002168226340712030101344123421580840121231043550101041800284120321036801417082002 ...

Click to view in browser - pa-stats-2020-May-gender.pdf
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Title: PA Statistics 2020 May - Age

Description: PA Statistics 2020 May - Physician Assistant by Age

Document: MALEFEMALEUNKNOWNTOTA L Under26616142188241617012211941413082172444689721345461597410623553533711306298260622923904681549512507915094Over276033315371231810294

Click to view in browser - pa-stats-2020-May-age.pdf
Click to download file

Title: Physician Statistics 2020 May - Specialty

Description: Physician Statistics 2020 May - Physicians by Specialty

Document: M.D.'SD.O.'SUNKNOWNTOTALRADIOLOGY6006110011MEDICINE172019AN1102FP55010 T 240290269RADIOLOGY3003SURGERY1001NEUROLOGY2002 PSYCHIATRY32716034314420146(PEDIATRICS)1001CYTOGENICS1001GENETICS9009GENETICS1001NEUROPHYSIOLOGY610749205119420196SURGERY2002SURGERY6006SURGERY284032SURGERY9009(SURGERY)121013(TRAU ...

Click to view in browser - doc-stats-2020-May-Specialty.pdf
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Title: Physician Statistics 2020 May - School of Graduation

Description: Physician Statistics 2020 May - Physicians by School of Graduation

Document: STATETOTALGalveston48306195449Houston3008Tech106Dallas43825994981Antonio41184904608Houston39844854469Tech23642962660A&M14361621598Worth25193172836Total26747346430211SCHOOLMALEFEMALEUNKNOWNTOTAL37021746154492221126723490645601203455152604981281817900460827071762044691783877026608837150159816861148228 ...

Click to view in browser - doc-stats-2020-May-school.pdf
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Title: Physician Statistics 2020 May - In and Out of State

Description: Physician Statistics 2020 May - Physicians In and Out of State

Document: DEGREEINSTATEOUTSTATETOTALMD604151558375998DO574415277271UNKNOWN000TOTAL661591711083269SCHOOLINSTATEOUTSTATETOTAL346430211 RACETOTALoriginunknown131170130ASIAN2514438014463AMERICAN3039620399241350139OTHER1276419905475UNKNOWN2103WHITE375038207041957TOTAL510061059066159RACETOTALoriginunknown443047ASIA ...

Click to view in browser - doc-stats-2020-May-in-and-out.pdf
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Title: Physician Statistics 2020 May - Gender and County

Description: Physician Statistics 2020 May - Physicians by Gender and County

Document: COUNTYMALEFEMALEUNKNOWNTOTALANDERSON6313076ANDREWS94013ANGELINA141520193ARANSAS122014ATASCOSA268034AUSTIN141015BAILEY2002BANDERA56011BASTROP2513038BAYLOR4408BEE192021BELL93545101386BEXAR3987220066193BLANCO1203 Q UE114015BOWIE223600283BRAZORIA2341630397BRAZOS4011580559BREWSTER95014BROOKS1001BROWN5413 ...

Click to view in browser - doc-stats-2020-May-gender.pdf
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Title: Physician Statistics 2020 May - County

Description: Physician Statistics 2020 May - Physicians by County

Document: CARDIOVASCULARDISEASESANDADOLESCENTPSYCHIATR Y 9312MEDICINE71814620PRACTICE/OMM011HEMATOLOGY/ONCOLOGY303HOSPITALIST202PEDS10139241 Y ONCOLOGY101SURGERY101 Y PSYCHIATR Y REHABILITATION303 Y 9110MEDICINE101ONCOLOGY101 Y MED)101SURGERY011TOTAL:17320193MEDICINE022TOTAL:9514 CARDIOLOGY101 Y MEDICINE303HO ...

Click to view in browser - doc-stats-2020-May-county.pdf
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Title: Physician Statistics 2020 May - Age

Description: Physician Statistics 2020 May - Physicians by Age

Document: GROUPMALEFEMALEUNKNOWNUnder72271701439354678433729017406532558611211945720650146122265069904157101115755653531289967260634124932883665588818364772870457910310561075279637013167Over210818912298UNKNOWN0000TOTAL54375288583683269GROUPINSTATETOTALUnder12561831439357581143690174096752444121194596432583122 ...

Click to view in browser - doc-stats-2020-May-age.pdf
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Title: Rules Changes July 5, 2020

Description: Rules Changes Effective July 5, 2020

Document: ... RULE CHANGES ADOPTED CHAPTER 180. TEXAS PHYSICIAN HEALTH PROGRAM AND REHABILITATION ORDERS Amends the title of 22 TAC Chapter 180 to “Texas Physician Health Program.” The am endments to 180.1 , concerning Purpose , describes the authority for rulemaking and the purpose of the ...

Click to view in browser - rules_20200705.pdf
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Title: Rules Changes July 12, 2020

Description: Rules Changes Effective July 12, 2020

Document: ... &pt=9 RULE CHANGES ADOPTED CHAPTER 166. PHYSICIAN REGISTRATION The amendments to 166.2 , concerning Continuing Medical Education , require s at least two hours of continuing medical education (CME) training in topics related to the prescription of opioids and other controlled su ...

Click to view in browser - rules_20200712.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 ... ”