image of caduceus
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 Physicist Cancellation by Request Form

Description: ... ate, complete and return the cancellation request form to the Board for approval before the expiration date of the current certificate.  Refunds of registration/renewal fees already paid cannot be made.

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

Click to view in browser - MP Cancel by Request - 10-2022.pdf
Click to download file

Title: Perfusionist Retirement Request Form

Description: ... ionist must submit a notarized retirement request form.

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

Click to view in browser - PF - TR Affidavit - 10-2022.pdf
Click to download file

Title: Perfusionist Voluntary Charity Care Request form

Description: ... nsed perfusionist must submit a notarized request form.

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

Click to view in browser - PF - VCC Affidavit - 10-2022.pdf
Click to download file

Title: Medical Board 2016 - June - Full Board Minutes

Description: Medical Board 2016 - June - Full Board Minutes

Document: ... sure §163.2 – Licensure/Full Texas Medical License §165.5 – Licensure/Licensure Documentation Mr. Blech gave a brief summary. No written comments were received and reviewed. No one signed - in to present oral comments. Dr. McNeese moved, Mr. Gallardo seconded, and the moti ...

Click to view in browser - MB-2016-June-Full-Board-minutes.pdf
Click to download file

Title: Medical Board 2016 - August - Licensure Committee Minutes

Description: Medical Board 2016 - August - Licensure Committee Minutes

Document: ... he applican t be privately referred to the Texas Physician’s Health Program. Mr. Gallardo seconded the motion. All voted in favor. The motion passed. 3 Applicant #1826 appeared before the Committee, with counsel, in executive session. In open session, Dr. Arambula mo ved that the ...

Click to download file

Title: TMB FY 15 Annual Internal Audit Report

Description: TMB FY 15 Annual Internal Audit Report

Document: ... also provides oversight and support for the Texas Physician Assistant Board and the Texas State Board of Acupuncture Examiners In 1837, thfirst Medical Practice Act was written, and the Congress of the Republic of Texas then created the Board of Medical Censors for the purposes of administering ...

Click to download file

Title: TMB FY 16 Internal Audit Plan

Description: TMB FY 16 Internal Audit Plan

Document: ... sident; the Presiding Officerfor the Acupuncture, Physician Assistant and Texas Physician Health Program Boards; andstaff, as documented below.The following documents were reviewedand considered in our risk assessment processOrganizationChartsBudgetsFinancial and NonFinancial ReportsPolicies and Pro ...

Click to view in browser - TMB-Internal-Audit-Plan-FY16.pdf
Click to download file

Title: TMB FY 16 Annual Internal Audit Report

Description: TMB FY 16 Annual Internal Audit Report

Document: ... lso provide s oversight and support for the Texas Physician Assistant Board and the Texas State Board of Acupuncture Examiners. In 1837, the first Medical Practice Act was written, and the Congress of the Republic of Texas then created the Board of Medical Censors fo r the purposes of administ ...

Click to download file

Title: Emergency Visiting Practitioner Temporary Permit Form

Description: Emergency Visiting Practitioner Temporary Permit (2017)

Document: ... one of the following for which you are applying: Physician Assistant___ Medical Radiological Technician ___ Respiratory Care Practitioner ___ Perfusionist ___ Medical Physicist___ Surgical Assistant___ Visiting Practitioner’s Information Name: ______________________________________________ ...

Click to download file

Title: Press Release September 28, 2016

Description: TMB suspends Mesquite physician (Way)

Document: ... or 800 - 248 - 4062 TMB suspends Mesquite physician On September 27 , 2016, a disciplinary panel of the Texas Medical Board temporarily suspended, without notice, the Texas medical license of Megan Kendra Way , M.D., after determining her continuation in the practice of medicine p ...

Click to view in browser - pr-20160928.pdf
Click to download file

Title: Respiratory Care Board Discipline and Ethics Committee Agenda

Description: Respiratory Care Board Discipline and Ethics Committee Agenda

Document: ... n regarding referrals and reports from the Texas Physician Health Program. 3. Reports and discussion regarding the Investigation, Litigation and Compliance Departments. 4. Discussion, recommendation, and possible action regarding Rule Review and proposed changes to the following c ...

Click to view in browser - RCP-2020-DE-Committee-Agenda.pdf
Click to download file

Title: Respiratory Care Board Full Board Agenda

Description: Respiratory Care Board Full Board Agenda

Document: ... deration and Approval of Membership of the Expert Physician Panel. Discussion and Possible Action Regarding Review of Probationers’ AppearancesFollow-up Files. Cases Recommended for DismissalAppeals Agenda item #15 at 9:10 a.m. Consideration and approval of Determinationof Default. Ivan V ...

Click to view in browser - RCP-2025-Feb-Full-Board-Agenda.pdf
Click to download file

Title: Rule Review Reorganization Matrix

Description: Rule Review Reorganization Matrix

Document: ... S) 160 General Provisions 161 , 191 161 Physician Licensure (includes pre - licensure criminal history evaluations, licensure, registration,CME requirements, limited and temporary licenses, PIT permits, fellowship program approval, and emergency practice authorization) 163,166, 167, ...

Click to view in browser - Rule Review Reorganization Matrix.pdf
Click to download file

Title: Perfusionist Cancellation by Request Form

Description: To request cancellation of a Texas Perfusionist license, complete and return the cancellation request form to the Board for approval before the expiration date of the current license. Refunds of registration/renewal fees already paid cannot be made.

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

Click to view in browser - PF - Cancel by Request - 10-2022.pdf
Click to download file

Title: Press Release October 6, 2016

Description: TMB suspends Graham physician (Gilbertson)

Document: ... or 800 - 248 - 4062 TMB suspends Graham physician On October 5 , 2016, a disciplinary panel of the Texas Medical Board temporarily suspended, without notice, the Texas medical license of Jeffrey Keith Gilbertson , M.D., after determining his continuation in the practice of medici ...

Click to view in browser - pr-20161006.pdf
Click to download file

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 ... ”