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Search Term: 'physician license verification form'

Interstate Medical Licensure Compact

“... act, you must: Hold a full, unrestricted medical license in a state that is a member of the Compact – this is called your State of Principal License (SPL). See the map of states currently participating in the Compact. In addition, at least ONE of the requirements below must apply: Your ... ”

This content is located on the following page(s): Interstate Medical Licensure Compact

E-Prescribing Waiver

“... penser are in the same location or under the same license; in circumstances in which necessary elements are not supported by the most recently implemented national data standard that facilitates electronic prescribing; for a drug for which the United States Food and Drug Administration requires addi ... ”

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

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

“... least 30 days prior to the expiration date of the license.  An exemption may not exceed one registration period, but may be renewed, subject to approval.   Acudetox Continuing Education Exemption Request Form

This content is located on the following page(s): CAE for Acudetox Specialists

LMRT Exam FAQs

“... to take part of the exam to add a modality to my license.  Is there any limit on the number of attempts I have to pass this new portion of the exam? No. ”

This content is located on the following page(s): Renewal - LMRT Exams

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

“ Are the Physicians being singled out? How much is it going to cost? Does the fingerprinting fee benefit the TMB? 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 ... ”

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 2006 - October - Licensure

Description: Medical Board 2006 - October - Licensure Committee Meeting Minutes October 5, 2006

Document: ... t. Ms. Garanflo reported that applicants for full physician licensure are required to comply with Rule 163.11 regarding active practice of medicine or an alternative as listed in the rule. She stated that the mini-residency alternative has become the most frequently used, however, some applicants un ...

Click to view in browser - MB-2006-Oct-licensure.pdf
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Title: Form D - Dean's Certification

Description: FORM D Dean's Certification Texas Medical Board Texas PA Board Texas State Board of Acupuncture Examiners 

Document: LICENSURE APPLICATION FORM D DEAN'S CERTIFICATION Version 01/2025 Form D Dean's Certification Texas Medical Board Texas PA Board Texas State Board of Acupuncture Examiners APPLICANT SECTION APPLICANT: Complete this section and t ...

Click to view in browser - Form D 01.2025.pdf
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Title: Form G - Provisional License Application and Sponsorship Form

Description: Form G - Provisional License Application and Sponsorship Form

Document: ��FORM Provisional License Application and Sponsorship Form��LICENSURE APPLICATION FORM ROVISIONAL ICENSE PPLICATION AND PONSORSHIP ORMVersion 08/21/14Pay withpersonal check, cashier’s check or money order (payable through a US bank) _________________________________ ...

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Title: Form I - Medical Professional Liability Claims Report

Description: Form I - Medical Professional Liability Claims Report

Document: Form I: Medical Professional Liability Claims Report Texas Medical Board | Texas PA Board | Texas State Board of Acupuncture Examiners LICENSURE APPLICATION FORM I MEDICAL PROFESSIONAL LIABILITY CLAIMS REPORT Version 01/2025 File one report for each claim/suit that was reported ...

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Title: Form J - Clinical Clerkship

Description: FORM J Clinical Clerkship Affidavit & Checklist Texas Medical Board 

Document: FORM J LICENSURE APPLICATION FORM J CLINICAL CLERKSHIP AFFIDAVIT & CHECKLIST Version 08/09/ 2010 Page 1 of 4 Clinical Clerkship Affidavit & Checklist Texas Medical Board Required for all international medical graduates. If you don’t me ...

Click to view in browser - FORM J - 10.23.15.pdf
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Title: Rule Changes January 16, 2018

Description: Rule Changes Effective January 16, 2018

Document: ... he amendment s to §182.8 , concer ning Expert Physician Reviewers , removes language from subsection (c) which requires that a report, prepared by an expert reviewer, include the expert's general qualifications; the rule is further amended to add language requiring the expert's specialty are ...

Click to view in browser - rules_20180116.pdf
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Title: Press Release June 2, 2015

Description: TMB suspends Dallas physician

Document: ... or 800 - 248 - 4062 TMB suspends Dallas physician On J u ne 2 , 2015 , a disciplinary panel of the Texas Medical Board temporarily suspended, without n otice, the Texas medical license of Abbie Ewell , M.D., after determining her continuation in the practice of medicin ...

Click to view in browser - pr-20150602.pdf
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Title: Press Release May 28, 2014

Description: Texas Physician Assistant Board suspends Fort Worth physician assistant

Document: ... 512 - 305 - 7030 or 800 - 248 - 4062 Texas Physician Assistant Board suspends Fort Worth physician assistant On May 28 , 2014, a disciplinary panel of the Texas Physician Assistant Board temporarily suspended, without notice, the Texas physician assistant license of Rodger Daniel Reid ...

Click to view in browser - pr-20140528.pdf
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Title: Press Release March 2, 2018-1

Description: TMB suspends Seguin physician (Fadal)

Document: FOR IMMEDIATE RE/EASE MedLa contact: MeJan *oode MeJan.*oode@tmb.state.t[.us  TMB suspends SeJuLn pK\sLcLan On MarcK 1 201 a dLscLplLnar\ panel of tKe Te[as MedLcal Board temporarLl\ suspended  ZLtKout notLce tKe Te[as medLc ...

Click to view in browser - pr-20180301-1.pdf
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Title: Form S - Disciplinary Action History Section

Description: Yes response to any of the questions in the Disciplinary Action History Section 

Document: �� FORM S��____________________________________________________________Applicant’s SignatureDate_____________________________________________Printed nameLICENSURE APPLICATION FORM S DISCIPLINARY ACTIONHISTORY ...

Click to view in browser - FORM_S_08_27_14.pdf
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Title: Medical Board 2002 - August - Credentials Verification Study

Description: Medical Board 2002 - August - Credentials Verification Study Committee Meeting Minutes

Document:

Click to view in browser - MB-2002-Aug-Cred-Verif-Minutes.pdf
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Title: Medical Board 2007 - April - Licensure Committee Action Item Agenda Item 2a Applicant #542

Description: Medical Board 2007 - April - Licensure Committee Action Item Agenda Item 2a Applicant #542 Licensure Committee Proposed Non-Public Non-Disciplinary Rehabilitation Order April 12, 2007

Document: ... to the full board that the applicant be granted a Physician in Training permit under a non-public, non-disciplinary rehabilitation order that includes the requirements: o Submit to an independent psychiatric evaluation by a forensic psychiatrist appointed by the Executive Director and follow any rec ...

Click to view in browser - MB-2007-April-AI-02a-542.pdf
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Title: Medical Board 2007 - April - Licensure Committee Action Item Agenda Item 2a Applicant #545

Description: Medical Board 2007 - April - Licensure Committee Action Item Agenda Item 2a Applicant #545 Licensure Committee Proposed Non-Public Non-Disciplinary Rehabilitation Order April 12, 2007

Document: ... ard that the applicant be granted a Texas medical license under a non-public, non-disciplinary rehabilitation order that includes the following requirements: o Submit up to 3 names for treating psychiatrist for approval by the Executive Director. Treating psychiatrist to report to the Texas Medical ...

Click to view in browser - MB-2007-April-AI-02a-545.pdf
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Title: Medical Board 2007 - April - Licensure Committee Action Item Agenda Item 2a Applicant #546

Description: Medical Board 2007 - April - Licensure Committee Action Item Agenda Item 2a Applicant #546 Licensure Committee Proposed Non-Public Non-Disciplinary Rehabilitation Order April 12, 2007

Document: ... ard that the applicant be granted a Texas Medical license under a non-public, non-disciplinary rehabilitation order that includes the requirements: o Abstain from alcohol and drugs, except as prescribed; comply with Texas Medical Board screening program; automatic suspension of license for positive ...

Click to view in browser - MB-2007-April-AI-02a-546.pdf
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Title: Medical Board 2007 - April - Licensure Committee Agenda Item 10a

Description: Medical Board 2007 - April - Licensure Committee Agenda Item 10a: Applications for Initial Certification as Nonprofit Health Organization

Document: ... hcare Group, Inc., Paris, TX 2. SJ Medical Center Physician Group, Inc., Houston, TX 3. SMG Signature Medical Group, Dallas, TX

Click to view in browser - MB-2007-April-AI-10a.pdf
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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 ... ”

How can I get a copy of my PIT permit?

“... prints or mails hard copy permits but, if online verification is not sufficient, you can obtain a copy by setting up a MyTMB account on our website. https://sso.tmb.state.tx.us/Login.aspx.  The permit will be available for downloading or printing from there. Please be aware that in order to ut ... ”

I submitted my fingerprints.  Why am I still not able to enter the online registration?

“... kground 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 ... ”

I was previously printed by another entity or state.  Can you use those results?

“... ou 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. ... ”

Can I complete the fingerprint requirement early?

“... ingerprint 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 instructions for your finger ... ”