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“... Texas.gov will remit the amount paid to the Texas Physician Assistant Board on your behalf.
Please note that as of 9/1/2015 Texas.gov will charge a different amount depending on the type of online payment service used.
Ex: $555.73 Re ... ”
“... 30 day grace period for the expiration date of a physician license. Once the 30 day grace period past the expiration date has occurred, penalty fee of $75 will be added. After 90 days, the penalty fee will increase to $150. If a license has been expired for one year or longer it is autom ... ”
“... outh, as prescribed for the patient on order of a physician, at a dose levenot to exceed minimal sedation, as defined under Bd rule, or delivery of nitrous oxide/oxygen inhalation sedation.
A physician and at least two personnel must be present, including the physician who must be curren ... ”
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Understanding How to Navigate the Two Step Licensure Process
Step One
Pre-Licensure
We will check to see if the documents you were initially required to submit have arrived. No analysis is done of the document content.
This is important: Although you have a one year application p ... ”
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A physician may request cancellation of his or her Texas medical license at any time.
Once a license is cancelled, the physician will no longer be able to practice medicine in the state of Texas in any capacity. In order to practice medicine again in Texas following cancellation, a phys ... ”
“Physician-in-Training (PIT) Permit allows a qualified person to participate in a post graduate medical training or fellowship program. A PIT permit is restricted to the supervised practice of medicine that is part of the training or fellowship program.
Please note that a medical school or ... ”
“... ed 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 ... ”
“Each physician who provides anesthesia services or performs a procedure for which anesthesia services are provided in an outpatient setting, including the use of analgesics and anxiolytics, must register and pay a fee to the Texas Medical Board. The current fee for office-based anesthesia is a total ... ”
“... ation will require you to download a supplemental form and submit it. Some of the forms must be sent to a third party, such as your medical school or liability carrier. Applicants must also take and pass the Jurisprudence Exam and submit their fingerprints for state and national criminal ... ”
“... -based practice?
At how many facilities can one physician delegate prescriptive authority through protocols?
Who may delegate prescriptive authority in a hospital facility-based practice?
Who may delegate prescriptive authority in a long term care facility based practice?
Who can prescribe S ... ”
“... el I, as prescribed for the patient on order of a physician; or except for the performance of Mohs micrographic surgery, the administration of local anesthesia, peripheral nerve blocks, or both in a total dosage amount that exceeds 50 percent of the recommended maximum safe dosage per outpatient vis ... ”
“... t include deep sedation or general anesthesia.
A physician and at least one other personnel must be present during the procedure and recovery until ready for discharge. The physician must be currently certified by AHA, ASHI, or ASA in ACLS or PALS, or PeRLs as appropriate. The additional personnel ... ”
“... riod is defined as 72 hours. Please use the form below for notification of unanticipated transfer/hospitalization or death.
Unanticipated Transfer/Hospitalization or Death
Please contact the Registration Department at Registrations@tmb.state.tx.us if you have any additional quest ... ”
“... 60 days in advance of the expiration date.
Physician Assistant Online Registration/Renewal
There are five simple steps to submit your online license renewal:
Please note that if you are not able to complete your online license renewal, your data will be automatically saved for you for ... ”
“... go to Look up a License (This includes Physician Profiles and provides links to view Board Orders, where applicable).
Non-Profit Health Organizations
Chief Medical Officer Designation
Electronic Death Certificate
Jointly Owned Physician / PA
Institutional Review Board (IRB) Ann ... ”
Description: Press Release April 18, 2007 A (PDF File)
Document: ... d upon issuance of another license.
Chapter 164, Physician Advertising , proposed amendments to §164.4, Board Certification, to set forth requirements for advertising a medical specialty.
Chapter 166, Physician Registration, proposed amendments to §166.5, Relicensure Following Cancellation for Non ...
Description: Press Release April 18, 2010 (PDF File)
Document: ... vy sedatives; or prescribing or administering any form of general sedation to a patient. Dr. Murray is prohibited from supervising or delegating prescriptive authority to physician assistants and other physician extenders. The Agreed Order does not prohibit Dr. Murray from prescribing or utilizing o ...
Description: Press Release April 18, 2011 (PDF File)
Document: ... uthority granted by the Medical Practice Act. The physician has the opportunity to have a Temporary Suspension Hearing With Notice at least 10 days after notice of the suspension just taken. ###
Description: Press Release April 20, 2011 (PDF File)
Document: ... nst nine licensees earlier this year. Ninety-four physician licenses were issued at the April board meeting; 1,981 total have been issued since September 1, 2010, the beginning of FY '11. The average number of days to complete a licensure application following submission of expected documents is 42. ...
Description: Press Release April 21, 2005 (PDF File)
Document: ... of the 78th Legislature, to suspend or restrict a physician's license without notice when it determines the physician's continuation in practice would constitute a continuing threat to the public welfare. The suspension is effective immediately. The action was based on Dr. Eargle's nontherapeutic pr ...
Description: Press Release April 21, 2008 A (PDF File)
Document: ... , dangerous drugs or controlled substances in any form and required him to undergo random drug and alcohol testing. The hearing took place April 18 and the suspension was effective immediately. The length of a suspension order is indefinite but it remains in effect until the board takes further acti ...
Description: Press Release April 21, 2010 (PDF File)
Document: ... its April 7-8 meeting, the board also issued 634 physician licenses.
RULE CHANGES ADOPTED
The board adopted the following rule changes that were published in the Texas Register: Chapter 183, Acupuncture: amendments to §183.4, Licensure, which increases number of attempts on Acupuncture JP exam upo ...
Description: Press Release April 28, 2011 (PDF File)
Document: ... 305-7030 or 800-248-4062
Board suspends Victoria physician, two Houston pain clinics
On April 25, 2011, a disciplinary panel of the Texas Medical Board temporarily suspended, without notice, the medical license of Uma Rani Gullapalli, M.D., of Victoria, after determining that Dr. Gullapalli's conti ...
Description: Press Release April 28, 1998 (PDF File)
Document: ... uished professors temporary license; Chapter 166, Physician Registration, rule review and amendments to sections 166.2 and 166.4 regarding continuing medical education requirements and expired permits; Chapter 171, Institutional Permits, repeal of sections 171.1-171.9 and new sections 171.1-171.6 re ...
Description: Press Release April 30, 2008 A (PDF File)
Document: ... informed consent for off-label use of drugs; that physician assistants and advanced nurse practitioners who were dispensing the drugs were not adequately supervised; that drugs were being improperly dispensed at the clinics; and that Dr. Zayas was billing for treating patients whom he never saw or t ...
Description: Press Release May 01, 2002 (PDF File)
Document: ...
May 1, 2002
Medical Board Suspends San Antonio Physician s License The Texas State Board of Medical Examiners today suspended the license of Scott Shaw McNeill, M.D., based on evidence and information that his continuance in the practice of medicine would constitute a continuing threat to public ...
Description: Press Release May 03, 2007 A (PDF File)
Document: ... of the 78th Legislature, to suspend or restrict a physician's license without notice when it determines the physician's continuation in practice would constitute a continuing threat to the public welfare. The suspension was effective immediately.
The action was based on the following: Dr. White's i ...
Description: Press Release May 04, 2005 (PDF File)
Document: ... of the 78th Legislature, to suspend or restrict a physician's license without notice when it determines the physician's continuation in practice would constitute a continuing threat to the public welfare. Tuesday's all-day public hearing was held with notice before a three-member panel of board memb ...
Description: Press Release May 08, 2007 A (PDF File)
Document: ... hol and prescription drugs unless prescribed by a physician. The panel found Dr. Halbert a danger to the health of his patients or to the public through his lack of competence, impaired status or failure to care adequately for his patients.
The temporary suspension hearing took place Monday, and th ...
Description: Press Release May 13, 2008 A (PDF File)
Document: ... case will be reviewed by a board committee, or a physician may opt out of fast-track entirely and contest the charges through TMB's traditional investigation and litigation process. "This will benefit both the medical community and medical consumers in Texas," said Dr. Donald Patrick, TMB's executi ...
“The fingerprint background check is required prior to the completion of your initial TMB registration/renewal, per the new statutory requirement set out in Texas Occupations Code, Sec 602.2101. ”
Why do I have to be fingerprinted for my first renewal with the Texas Medical Board?
The fingerprint background check is required prior to the completion of your initial TMB registration/renewal, per the new statutory requirement set out in Texas Occupations Code, Sec 602.2101.
“You must register your supervising physician with the TMB prior to applying with the DEA. For information or questions on applying for a DEA under a temporary license, please contact the DEA directly. https://www.deadiversion.usdoj.gov/index.html ... ”
Can I get a DEA number with my temporary license?
You must register your supervising physician with the TMB prior to applying with the DEA. For information or questions on applying for a DEA under a temporary license, please contact the DEA directly. https://www.deadiversion.usdoj.gov/index.html
“... to administer anesthesia without delegation by a physician.” (Page 5). Since the selection and administration of anesthesia is a medical act, CRNAs must be properly delegated this act by a physician. A CRNA who administers anesthesia without proper delegation from a physician would ... ”
Are CRNA’s authorized to practice independent of physician supervision and delegation?
No, neither the Medical Practice Act nor the Nursing Practice Act authorize independent practice by a CRNA. Additionally, Texas Attorney General Opinion No. KP-0266 found “A certified registered nurse anesthetist does not possess independent authority to administer anesthesia without delegation by a physician.” (Page 5). Since the selection and administration of anesthesia is a medical act, CRNAs must be properly delegated this act by a physician. A CRNA who administers anesthesia without proper delegation from a physician would be liable for the unlicensed practice of medicine.
“To return to practice from retired status, a physician must obtain approval of the Board after submitting a written request. If a physician has been on official retired status for two years or longer, the request must be reviewed by the Licensure Committee of the Board. Please contact th ... ”
My physician license is currently in a retired status. How to I return it to an active status so I can practice?
To return to practice from retired status, a physician must obtain approval of the Board after submitting a written request. If a physician has been on official retired status for two years or longer, the request must be reviewed by the Licensure Committee of the Board. Please contact the Registration department for information on the approval procedure.
“Yes, if you are a physician or a physician assistant. Physicians are required to register all PAs and APRNs that they supervise prior to the delegates beginning to work for them. If there is a change to the scope of the delegation, physicians must notify the Board within 30 days of this c ... ”
Do I have to let the Medical Board know about my delegates/supervising physicians?
Yes, if you are a physician or a physician assistant.
Physicians are required to register all PAs and APRNs that they supervise prior to the delegates beginning to work for them. If there is a change to the scope of the delegation, physicians must notify the Board within 30 days of this change.
PAs are likewise required to register their supervising physicians with the Board prior to beginning to practice under the employment or prescriptive authority agreement. They are also required to notify the Board within 30 days of any change to the scope of the delegation.
APRNs should look to guidance provided by the Texas Board of Nursing for how to register their delegating physicians, as the Medical Board does not have licensing authority for nurses.
“To return to practice from retired status, a physician must submit an application online for re-activation/re-licensure and meet all of the current requirements for licensure. ”
Are there any additional requirements that I need to complete before I request to return my retired physician license to an active status?
To return to practice from retired status, a physician must submit an application online for re-activation/re-licensure and meet all of the current requirements for licensure.
“A physician, their delegated midlevel provider, or any other qualified and licensed individual delegated authority to check the PMP may do so on behalf of the prescriber. Ultimately though, it is the prescriber’s responsibility to ensure that the PMP has been checked and that they have r ... ”
Is only the prescriber allowed to check the PMP, or can someone else check on behalf of the physician?
A physician, their delegated midlevel provider, or any other qualified and licensed individual delegated authority to check the PMP may do so on behalf of the prescriber. Ultimately though, it is the prescriber’s responsibility to ensure that the PMP has been checked and that they have reviewed and taken into account any relevant information prior to issuing a prescription.
“... to set up an e-prescribing process. On the waiver form, you will have to specify any of the above categories you are experiencing. ”
How do I qualify for the waiver?
There are three different ways you can qualify for a waiver. If you or your practice is experiencing any of the following, you may qualify for a waiver:
On the waiver form, you will have to specify any of the above categories you are experiencing.
“... ted a waiver, it will be displayed on your public physician profile. This alone will serve as proof of your waiver. Generally, waiver requests are determined within 2-3 business days. You are encouraged to check your profile daily upon submitting your waiver request. You may also c ... ”
How will I be notified if I am granted a waiver?
If you are granted a waiver, it will be displayed on your public physician profile. This alone will serve as proof of your waiver. Generally, waiver requests are determined within 2-3 business days. You are encouraged to check your profile daily upon submitting your waiver request. You may also choose to print a simple copy of the ‘Verified Information’ section of your profile, which includes your waiver status, by choosing the “Print Verification” option on your profile.
“Currently, each individual physician who needs a waiver will have to apply for their own individual waiver. Although this may change in the future, TMB is currently unable to track waivers by group. ”
Does everyone at my practice have to apply for a waiver or just the medical director?
Currently, each individual physician who needs a waiver will have to apply for their own individual waiver. Although this may change in the future, TMB is currently unable to track waivers by group.
“If the supervising physician has a waiver, then the prescribing delegate is also covered under that waiver. So long as the prescribing delegate is prescribing under the authority of a physician who has been granted a waiver, then the prescribing delegate may use non-electronic prescribing means.&nbs ... ”
Do delegates who have prescribing authority have to apply for their own waiver or are they covered by the supervising physician’s waiver?
If the supervising physician has a waiver, then the prescribing delegate is also covered under that waiver. So long as the prescribing delegate is prescribing under the authority of a physician who has been granted a waiver, then the prescribing delegate may use non-electronic prescribing means. If a prescribing delegate is issuing a prescription under the authority of a physician who does not have a waiver, then the prescribing delegate must issue the prescription via e-prescribing.
If an individual wants to look up whether a prescribing delegate has a waver they can do so as listed below:
For physician assistants: A PA’s waiver status will not be viewable on their TMB public profile. Each PA’s public profile has a link to their supervising physician’s profile page. The physician’s profile page will list the waiver status.
For nurse practitioners: APRN waivers are determined by the Texas Board of Nursing. Information on the waiver process for the APRNs is available on the Texas Board of Nursing Website.
“ If a physician has a waiver from e-prescribing, it is viewable on their public profile page, under the section entitled “Verified Information.” If you want to verify that a PA or nurse practitioner has a waiver, you will have to look at the delegating physician’s ... ”
How can someone determine if a practitioner has a waiver?
If a physician has a waiver from e-prescribing, it is viewable on their public profile page, under the section entitled “Verified Information.” If you want to verify that a PA or nurse practitioner has a waiver, you will have to look at the delegating physician’s public profile. You can look up a prescriber’s public profile here: Look up a License
NOTE: Per the Texas State Board of Pharmacy, a “pharmacist is not responsible for ensuring there is a waiver. In addition, there is no requirement of the pharmacist to ensure an appropriate waiver is granted.”
“... 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. ”
What is the TMB “Service code” for IdentoGo?
The TMB service code for IdentoGo is only able to be provided directly to licensure applicants or existing licensees. The service code is provided 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.
“Please note that the fingerprint background check results will be required prior to a license being able to access the online registration system. While processing times vary (average turnaround time is less than 10 business days), please note it can take 4-6 weeks for hard card submissions.&n ... ”
I submitted my fingerprints. Why am I still not able to enter the online registration?
Please note that the fingerprint background check results will be required prior to a license being able to access the online registration system. While processing times vary (average turnaround time is less than 10 business days), please note it can take 4-6 weeks for hard card submissions. If you believe that you should be able to access the online registration system, and you are not able to, please contact us a Registrations@tmb.state.tx.us.
“... uested. Therefore, we are not able to access fingerprint results that were submitted to another agency. If you have been previously fingerprinted for another license or by another agency, we apologize for the inconvenience; however you will still be required to submit the fingerprint crimi ... ”
I was previously printed by another entity or state. Can you use those results?
Per Title 28, Code of Federal Regulations (CFR), Section 50.12, FBI fingerprinting reports are only allowed to be used for the purposes requested. Therefore, we are not able to access fingerprint results that were submitted to another agency. If you have been previously fingerprinted for another license or by another agency, we apologize for the inconvenience; however you will still be required to submit the fingerprint criminal history background prior to the next registration/renewal of your license.