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“When a physician retires, terminates employment, or otherwise leaves a medical practice, he or she is responsible for:
ensuring that patients receive reasonable notification and are given the opportunity to obtain copies of their records or arrange for the transfer of their medical records to anoth ... ”
“Once the Board has issued you an official license number, you will have 90 days to register and activate your license. Failure to register will result in penalty fees, and after one year, license cancellation.
Please note: If you have not registered your license within 90 days of your license ... ”
“... ilable. If an online option is not available (ex: license is delinquent or suspended at the time of registration) the additional processing fee will not be required.
To request a hard copy registration form, please contact the Registration Department at registrations@tmb.state.tx.us or ( ... ”
“... spouse to file for recognition of a professional license from another state to practice that profession in Texas while stationed in Texas. Recognition requires proof that the individual is currently licensed in good standing in another state and has current orders assigning the servicemember to Tex ... ”
“... ws entities to be jointly owned by physicians and physician assistants subject to certain limitations, including percent of ownership by physician assistants. There are annual reporting requirements for physician and physician assistant owners.
Highlights include:
the organizers must be phys ... ”
“... ss this database choose the link “Look up a License” from our home page. This database will provide links to view Board Orders for most licensees, where applicable.
We also have an online verification system that allows registered health care entities to receive limited info ... ”
“... his can include legislation impacting physicians, physician assistants, acupuncturists, surgical assistants, and a variety of other license types.
Access legislative updates here: Legislative Updates
As a state agency, TMB has a number of reporting requirements to the legislature ... ”
“FY 24 Staff and Board Meeting License Issuance Dates
Day
Licensing Date
Date File Must be Completed to be Licensed
Friday
09/01/2023
08/25/2023
Friday
09/15/2023
09/08/2023
Friday
09/29/2023
09/22/2023
Friday
10/13/2023 (Board Meeting)
10/06/2023
Fr ... ”
“... Medical Board issues a full unrestricted medical license to qualified physicians to practice medicine in Texas. Applicants who do not qualify for a full medical license may qualify for a limited license or permit. The Licensure Department of the Texas Medical Board is committed to furth ... ”
“... l Review Board (IRB) Annual Report
NEW - Physician Profile Update Request Form
”
“... hool of Osteopathic Medicine (San Antonio)
Texas Physician Assistant Programs
Baylor College of Medicine Physician Assistant Program
Interservice Physician Assistant Program - Fort Sam Houston
Texas Tech University - School of Health Professionals - Physician Assistant Program
University of North ... ”
“... staff. Although the form may be designed for your license type, it may not be required.
Adobe Acrobat Reader is needed to view PDF files.
Additional Licensure forms are available under Forms. ”
“If you're a physician and you will EVER be called upon to sign a death certificate, state law requires you to register with the Texas Department of State Health Services (DSHS) to file the certificate electronically.
You cannot wait until a death has occurred in order to register; that’s too l ... ”
“The Texas Physician Assistant Board issues a physician assistant license to qualified individuals to practice in Texas. In addition to a license, physician assistants in Texas must practice under the supervision of one or more supervising physicians, and if prescribing drugs, must have a presc ... ”
“... Examiners was formed in 1907. It consisted of 11 physician members appointed biennially by the governor and confirmed by the senate.
In 1931, the legislature increased the number to 12 physicians appointed for six year terms. Sunset legislation passed in 1981 provided that nine physician members be ... ”
Description: Press Release January 20, 2010 (PDF File)
Document: ... 05-7030 or (800) 248-4062.
Medical Board Revokes License of Dr. Scott Shaw McNeill, Lic. # K7058, of San Antonio
On January 15, 2010, the Board entered an Automatic Revocation Order for an indefinite period against Scott Shaw McNeill, M.D., for violations of a 2004 10-year Agreed Order, which requi ...
Description: Press Release January 12, 2010 A (Pdf File)
Document: ... 05-7030 or (800) 248-4062.
Medical Board Revokes License of Dr. Clarence Gordon King, Lic. # E1883, of San Antonio
On January 7, 2010, the Board entered an automatic Order of Revocation against Clarence Gordon King, M.D., due to his having a positive screen for alcohol in violation of a 2003 Agreed ...
Description: Press Release January 22, 2009 A (PDF File)
Document: ... 05-7030 or (800) 248-4062
Medical Board Suspends License of Brent J. Coleman, D.O., of Laguna Vista
A panel of the Texas Medical Board suspended the license of Brent J. Coleman, D.O., license number G3241, after determining that Dr. Coleman's continuation in the practice of medicine presents a cont ...
Description: Press Release January 24, 2005 (PDF File)
Document: ...
Monday, January 24, 2005
Medical Board Suspends License of James Everett Elder Jr., M.D., of Plano
A panel of the Texas State Board of Medical Examiners suspended the license of James Everett Elder Jr., M.D., license number K5289, after determining that Dr. Elder's continuation in the practice of ...
Description: Press Release January 25, 2003 (PDF File)
Document: ... tient care in which the board determined that the physician's knowledge, judgment, professiona lism and/or skill were lacking. The following criteria were used to identify the actions: the licenses were revoked, surrendered or indefinitely suspended, and the physician is currently out of practice; ...
Description: Press Release January 27, 2011 (PDF File)
Document: ... Desai, M.D., of Beaumont, suspending his medical license after determining that Dr. Desai's continuation in the practice of medicine constitutes a continuing threat to the public welfare. The Board's action was based on the finding that Dr. Desai, Lic. No. J1649, engaged in a pattern of inappropria ...
Description: Press Release January 31, 2007 A (PDF File)
Document: ... 05-7030 or (800) 248-4062
Medical Board Suspends License of Carlos D. Cunado, M.D., of Jasper
A panel of the Texas Medical Board temporarily suspended the license of Carlos D. Cunado, M.D., license #K6556, of Jasper, after determining that Dr. Cunado's continuation in the practice of medicine pres ...
Description: Press Release February 03, 2010 (PDF File)
Document: ... 05-7030 or (800) 248-4062
Medical Board Suspends License of William Robert Olmsted, M.D., of Georgetown
A panel of the Texas Medical Board temporarily suspended without notice the license of William Robert Olmsted, M.D., license #J1550, of Georgetown, after determining that Dr. Olmsted's continuati ...
Description: Press Release February 06, 2007 A (PDF File)
Document: ... 05-7030 or (800) 248-4062
Medical Board Suspends License of Steven H. Farber, M.D., of Conroe
A panel of the Texas Medical Board temporarily suspended the license of Steven H. Farber, M.D., license #F8102, of Conroe, after determining that Dr. Farber's continuation in the practice of medicine pres ...
Description: Press Release February 09, 2005 (PDF File)
Document: ... g $1,070,000. The board temporarily suspended the license of one physician since the last board meeting. The board accepted the voluntary surrender of the license of one non-certified radiologic technician. New Licenses Issued During its February 3-4 Board meeting, the Board approved the licensure a ...
Description: Press Release February 06, 2006 (PDF File)
Document: ... actions based on inappropriate conduct involving physician-patient relationships; six actions based on unprofessional conduct; one action based on peer review actions; two actions based on inadequate medical records; two actions based on violations of probation or prior orders; two voluntary surren ...
Description: Press Release February 09, 2009 A (PDF File)
Document: ... w requires that, if the agency executive is a non-physician, a medical director be hired. Robinson takes over the executive director position after the retirement of Donald W. Patrick, M.D., J.D., who served TMB as executive director from September 2001 through August 2008. Robinson began her career ...
Description: Press Release February 10, 2009 A (PDF File)
Document: ... dical Board Disciplines 33 Doctors and Issues 399 Physician Licenses
At its February 5-6 meeting, the Texas Medical Board took disciplinary action against 32 licensed physicians; in addition, the board has issued one temporary suspension since its last meeting. The actions included 11 violations bas ...
Description: Press Release February 11, 2000 (PDF File)
Document: ... totaling $42,000 were assessed. In addition, one physician has been placed under a temporary suspension order on an emergency basis and one physician s license was suspended due to violation of probation. The Texas State Board of Physician Assistant Examiners, at its January 27 Board meeting , dis ...
Description: Press Release February 11, 2004 (PDF File)
Document: ... for licensure and general clean up. Chapter 164, Physician Advertising, proposed amendment to §164.4 regarding advertising board c ertification. Chapter 175, Fees, Penalties, and Applications, proposed amendments to §§175.1 and 175.4 relating to increases in application and registration fees for li ...
“... hospital facility based practice, the delegating physician may be the medical director, the chief of medical staff, the chair of the credentialing committee, a department chair, or a physician who consents to the request of the medical director or chief of the medical staff to delegate. ... ”
Who may delegate prescriptive authority in a hospital facility-based practice?
In a hospital facility based practice, the delegating physician may be the medical director, the chief of medical staff, the chair of the credentialing committee, a department chair, or a physician who consents to the request of the medical director or chief of the medical staff to delegate.
“... e statutes and regulations. The degree to which a physician is required to supervise a CRNA during the performance of a task in anesthesia services is left to the “physician’s professional judgment in light of other relevant federal and state laws, facility policies, medical staff bylaws ... ”
Are physicians potentially subject to discipline for violations of the standard of care by CRNAs to whom they have delegated the selection or administration of anesthesia or the care of an anesthetized patient?
Yes, potentially. Although physicians are not required to supervise CRNA’s for delegated tasks, they nonetheless remain subject to potential liability for violations of the standard of care by CRNAs, depending on federal and state statutes and regulations. The degree to which a physician is required to supervise a CRNA during the performance of a task in anesthesia services is left to the “physician’s professional judgment in light of other relevant federal and state laws, facility policies, medical staff bylaws, and ethical standards.” (Texas Attorney General Opinion No. JC-0117). However, physician supervision during the medical management of a patient while undergoing an anesthetic may require supervision dependent on federal and state statutes and regulations.
Additionally, Texas Attorney General Opinion No. KP-0353 found “In authorizing physicians to delegate the administration of anesthesia to CRNAs, the Legislature did not expressly limit the liability of the delegating physician. See TEX. OCC. CODE § 157.058; cf. id. § 157.004(c) (providing that in specified circumstances a physician who issues a standing delegation under chapter 203 generally “is not liable in connection with an act performed under that standing delegation order”). Thus, we cannot conclude that the liability of a physician delegating the administration of anesthesia to a CRNA is limited solely to the determination of competency. Questions of physician liability in any specific context are highly factual and not an appropriate determination for the opinion process. See Tex. Att’y Gen. Op. No. GA-0446 (2006) at 18 (“Questions of fact are not appropriate to the opinion process.”) (Page 4 with emphasis added.)
“... , it is important to remember that the delegating physician must abide by all required federal and state statutes and regulations regarding delegation. The physician retains responsibility of the medical management of the patient. Therefore, the delegating physician must consider the del ... ”
When is Physician supervision of a CRNA required?
Regardless of the circumstances when supervision is or is not required, it is important to remember that the delegating physician must abide by all required federal and state statutes and regulations regarding delegation. The physician retains responsibility of the medical management of the patient. Therefore, the delegating physician must consider the delegatee’s education, training, and experience prior to delegating. Additionally, delegation may be revoked by the delegating physician at any time.
The Texas Attorney General has issued three opinions on CRNA supervision. The latest opinion found that although physician supervision of a CRNA is not required in Texas Occupations Code Sec. 157.058, other federal and state statutes and regulations may require physician supervision of a CRNA, a CRNA may not administer an anesthetic that is a controlled substance outside the presence of a physician, and the Legislature did not expressly limit the liability of the delegating physician.
Specifically, Texas Attorney General Opinion KP-0353 found “Section 157.058 of the Occupations Code does not, by itself, require a physician who properly delegates anesthesia-related tasks to a certified registered nurse anesthetist (“CRNA”) to supervise the performance of those acts.” (Page 5)
However, KP-0353 also found “…the language of chapter 157 is not the only relevant authority to consider in addressing the question of physician supervision over acts delegated to a CRNA. Federal regulations limiting Medicare coverage and conditioning hospital participation in Medicare and Medicaid programs require physician supervision of a CRNA when administering anesthesia in certain circumstances. See, e.g., 42 C.F.R. §§ 416.42(b)(2), 482.52(a)(4), 485.639(c)(1)(v), (2) (requiring a CRNA to operate under a physician’s supervision when administering anesthesia in certain circumstances). Furthermore, a CRNA may not administer an anesthetic that is a controlled substance outside the presence of a physician. See TEX. HEALTH & SAFETY CODE §§ 481.002(1)(A) (defining “administer” to require agent to apply controlled substance in presence of physician), .071(a) (prohibiting physician from causing controlled substance to be administered under physician’s “direction and supervision” except for valid medical purpose and in course of medical practice). And a CRNA may not obtain an anesthetic that is a dangerous drug unless a physician has listed that CRNA as the physician’s designated agent. See id. §§ 483.001(4) (defining “designated agent”), .022(a) (requiring physician to name each designated agent in writing). (Page 3 with emphasis added.)
Finally, KP-0353 found “Whether and the extent to which physician supervision is required for an act delegated to a CRNA will depend on the specific act delegated, the type of facility in which the CRNA performs the act, and any relevant regulations of that facility. And while section 157.058 authorizes a physician to delegate to a CRNA, a physician is never required to do so. If a physician is concerned about a CRNA’s ability to perform a delegated act or desires to limit the delegation, the physician retains the authority to refrain from delegating, to limit the delegation, or to supervise the delegation to whatever extent the physician determines necessary. In sum, the authority to delegate provided by section 157.058 of the Occupations Code does not eliminate the need to comply with all other applicable statutes, regulations, bylaws, ethical standards, and a physician’s own professional judgment. See TEX. OCC. CODE § 157.007 (“An act delegated by a physician under [chapter 157] must comply with other applicable laws.”). (Page 4 with emphasis added.)
“APRNs or PAs may prescribe schedule II drugs in the following situations: (1) in a hospital facility-based practice, in accordance with policies approved by the hospital's medical staff or a committee of the hospital's medical staff as provided by the hospital's bylaws to ensure patient safety ... ”
Who can prescribe Schedule II drugs under physician delegation?
APRNs or PAs may prescribe schedule II drugs in the following situations:
(1) in a hospital facility-based practice, in accordance with policies approved by the hospital's medical staff or a committee of the hospital's medical staff as provided by the hospital's bylaws to ensure patient safety and as part of care provided to a patient who:
(A) has been admitted to the hospital for an intended length of stay of 24 hours or greater; or
(B) is receiving services in the emergency department of the hospital; or
(2) as part of the plan of care for the treatment of a person who has executed a written certification of a terminal illness, has elected to receive hospice care, and is receiving hospice treatment from a qualified hospice provider.
“... or delegation of schedule II authority. The physician may only delegate authority to prescribe controlled substances in schedules III through V in this setting. Authority to prescribe dangerous drugs, nonprescription drugs and devices may be delegated in any setting. ... ”
Can schedule II authority be delegated in a free standing emergency department that is affiliated with a hospital?
No. A free standing emergency department is not located within the hospital anddoes not qualify as an eligible site for delegation of schedule II authority. The physician may only delegate authority to prescribe controlled substances in schedules III through V in this setting. Authority to prescribe dangerous drugs, nonprescription drugs and devices may be delegated in any setting.
“... sp;APRNs and PAs must consult with the delegating physician for refills of a prescription for controlled substances after the initial 90 day supply. Consultation is also required when prescribing controlled substances for children under the age of two years. In both cases, the consultati ... ”
How often is physician consultation required when prescribing controlled substances?
APRNs and PAs must consult with the delegating physician for refills of a prescription for controlled substances after the initial 90 day supply. Consultation is also required when prescribing controlled substances for children under the age of two years. In both cases, the consultation must be documented in the patient’s medical record.
“... sees. The verification includes: licensee's name, license or permit number, issue date, expiration date, disciplinary status, and our board seal will be affixed.There is no fee for state board verifications. Please allow 10 working days to process your verification. The verification will be ma ... ”
How do I get a verification of my Texas license sent to another state?
Upon written request TMB will provide a state board verification to another state board regarding licensees. The verification includes: licensee's name, license or permit number, issue date, expiration date, disciplinary status, and our board seal will be affixed.
There is no fee for state board verifications. Please allow 10 working days to process your verification. The verification will be mailed directly to the state board of your request.
The form is avaliable under Verification Request in the "Licensee Resources" section of our website.
“... ecurity number of an applicant for or holder of a license, certificate of registration, or other legal authorization issued by a licensing agency to practice in a specific occupation or profession that is provided to the licensing agency is confidential and is not subject to disclosure under the ope ... ”
Is my social security number subject to open records through TMB?
The 76th Legislature passed HB 692, which states in part: "The social security number of an applicant for or holder of a license, certificate of registration, or other legal authorization issued by a licensing agency to practice in a specific occupation or profession that is provided to the licensing agency is confidential and is not subject to disclosure under the open records law."
The law was passed in the House on March 18 and in the Senate on May 17 and went into effect after being signed by Governor George W. Bush on May 29, 1999.
“... outh, as prescribed for the patient on order of a physician, at a dose level low enough to allow the patient to remain ambulatory.Level II Services: Delivery of analgesics or anxiolytics by mouth in dosages greater than allowed at Level I and tumescent anesthesia, as prescribed for the patient on or ... ”
What are the different levels of anesthesia services relating to OBA?
Level I Services: Delivery of analgesics or anxiolytics by mouth, as prescribed for the patient on order of a physician, at a dose level low enough to allow the patient to remain ambulatory.
Level II Services: Delivery of analgesics or anxiolytics by mouth in dosages greater than allowed at Level I and tumescent anesthesia, as prescribed for the patient on order of a physician.
Level III Services: Delivery of analgesics or anxiolytics other than by mouth, including intravenously, intramuscularly, or rectally.
Level IV Services: Delivery of general anesthetics, including regional anesthetics and monitored anesthesia care.
“ A physician who provides level II-IV anesthesia services in an outpatient setting (including analgesics and anxiolytics). A physician who performs a procedure for which level II-IV anesthesia services are provided in an outpatient setting (including analgesics and anxiolytics). ... ”
Who has to register for office-based anesthesia?
“You may be entering too much information in your search. Try entering in only the last name and first initial, or only the last name and the city where they practice. If you still have issues, please contact us at (512) 305-7010 for a verbal verification. ... ”
When I search for my physician, I get a “No records Match” message. Does my physician have a license in Texas?
You may be entering too much information in your search. Try entering in only the last name and first initial, or only the last name and the city where they practice. If you still have issues, please contact us at (512) 305-7010 for a verbal verification.
“Yes. Select a license type of “Physician” and a list of Specialties will appear for you to choose from. You can also narrow your search by entering in the city you would prefer. ”
I’m looking for a physician of a particular specialty. Does the “Look up a License” system let me do that?
Yes. Select a license type of “Physician” and a list of Specialties will appear for you to choose from. You can also narrow your search by entering in the city you would prefer.
“Unfortunately, at this time temporary physician assistant licenses are not available for verification online. Please contact us at (512) 305-7010 for a verbal verification. ”
The “Look up a License” system will not let me verify the temporary license of a physician assistant. How can I get this verification?
Unfortunately, at this time temporary physician assistant licenses are not available for verification online. Please contact us at (512) 305-7010 for a verbal verification.
“... oved training, teaching under a Faculty Temporary License in Texas, or a combination. ”
What are the requirements for an international medical school graduate to get a Full Texas Medical License?
The requirements are the same for International Medical School Graduates (IMGs) and U.S. or Canadian medical school graduates except that:
“... o; will show any non-disciplinary limitation on a physician’s license, such as “LUA - Limited to Underserved Area only”. If this area shows “None”, then the physician has no such limitation. ”
My physician’s profile says “Licensure Status: None". Does my physician have a license in Texas?
The “Licensure Status” will show any non-disciplinary limitation on a physician’s license, such as “LUA - Limited to Underserved Area only”. If this area shows “None”, then the physician has no such limitation.