- My TMB |
- Contact Us |
-
-
“... eviews proposed rules regarding the discipline of physician assistants and enforcement of the Physician Assistant Licensing Act, section 18 and section 19; oversees the disciplinary process and gives guidance to the board and staff regarding methods to improve the disciplinary process and more effec ... ”
“In 1993, the 73rd Texas Legislature created the Physician Assistant Advisory Council as an advisory board to the Texas State Board of Medical Examiners.
In 1994, Council members were appointed and drafted rules to implement the Physician Assistant Licensing Act passed by the 73rd Legislature. In the ... ”
“
To activate your license for the first time, you need to pay your first time registration fee within 90 days of your license issue date. To maintain an active license, you will need to renew your registration biennially.
For any questions related to the renewal, please contact us at Reg ... ”
“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: You must complete registration and pay the fee within 90 da ... ”
“... ption Monitoring Program (PMP) fee, $5.25 for the Physician Health Program (PHP) and a $2 Office of Patient Protection fee. These fees are required by statute. The remaining $535 is the fee required by the TMB.
These fees are explained in more detail in the chart below.
Sub ... ”
“... 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 ... ”
“... al Registration - If you have not registered your license within 90 days of your license issue date, a $75 penalty fee will be assessed. If you have not registered your license within 120 days of your license issue date, the penalty fee will increase to $150. If you do not register withi ... ”
“... outh, as prescribed for the patient on order of a physician, at a dose level low enough to allow the patient to remain ambulatory.
at least two personnel must be present, including the physician who must be currently certified by AHA or ASHI, at a minimum, in BLS; and
the following age-approp ... ”
“
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 ... ”
“
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 ... ”
“... p; a medical license, permit, or other authority to practice medicine that is currently restricted for cause, canceled for cause, suspended for cause, revoked or subject to another form of discipline in a state or territory of the United States, Canada, or ... ”
“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 ... ”
“The Medical License Limited to Underserved Area allows applicants for a full medical license who do not meet exam timeframe requirements to obtain a license limited solely and exclusively to practice in a medically underserved or health professional shortage area.
The holder of a Medical Licens ... ”
“... -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 ... ”
Description: Press Release March 10, 2005 (PDF File)
Document: ... uspended the licenses of Annette M. Howard, M.D., license number J5161, of Houston, and David Burrell Collins, D.O., license number F6538, of Granbury, after determining that their continuation in the practice of medicine presents a continuing threat to the public welfare. The temporary suspension h ...
Description: Press Release March 11, 2009 (PDF File)
Document: ... ) 305-7030 or (800) 248-4062.
RANDY RAMAHI, D.O. License No. J-4462 (Arlington, TX) Temporary Suspension (without Notice)
On March 11, 2009, a Disciplinary Panel of the Board entered an Order of Temporary Suspension (Without Notice of Hearing) against the medical license of Dr. Randy Ramahi after c ...
Description: Press Release March 15, 2011 (PDF File)
Document: ... -305-7030 or 800-248-4062
Medical Board Suspends License of Denton Physician
On March 14, 2011, a disciplinary panel of the Texas Medical Board temporarily suspended, with notice, the medical license of Ramon A. Cruz, M.D., of Denton, after determining that Dr. Cruz's continuation in the practice o ...
Description: Press Release March 18, 2005 (PDF File)
Document: ... es
Friday, March 18, 2005 Medical Board Suspends License of Mark D. Gilliland, M.D., of Houston A panel of the Texas State Board of Medical Examiners suspended the license of Mark D. Gilliland, M.D., license number G2088, after determining that Dr. Gilliland's continuation in the practice of medici ...
Description: Press Release March 18, 2010 (PDF File)
Document: ... 5-7030 or (800) 248-4062.
Medical Board Suspends License of Alan Dale Shiller, M.D., of Palestine
A panel of the Texas Medical Board suspended the license of Alan Dale Shiller, M.D., license number H8398, after determining that Dr. Shiller's continuation in the practice of medicine presents a conti ...
Description: Press Release March 18, 2011 (PDF File)
Document: ... -305-7030 or 800-248-4062
Medical Board Suspends License of Physician in Paris, Texas
On March 18, 2011, a disciplinary panel of the Texas Medical Board temporarily suspended, without notice, the medical license of Rick Alan Szumlas, M.D., of Paris, Texas, after determining that Dr. Szumlas' contin ...
Description: Press Release March 19, 2008 A (PDF File)
Document: ... 05-7030 or (800) 248-4062
Medical Board Suspends License of Dennis Donald Roberts, M.D., of Houston
A panel of the Texas Medical Board suspended the license of Dennis Donald Roberts, M.D., license number M6362, after determining that Dr. Roberts' continuation in the practice of medicine would prese ...
Description: Press Release March 23, 2004 (PDF File)
Document: ...
Tuesday, March 23, 2004
Medical Board Suspends License of Juan C. Ruffier, M.D.
A panel of the Texas State Board of Medical Examiners temporarily suspended the license of Juan C. Ruffier, M.D., License #G6006, of El Paso, after determining that Dr. Ruffier's continuation in the practice of medici ...
Description: Press Release March 25, 2009 (PDF File)
Document: ... 05-7030 or (800) 248-4062
Medical Board Suspends License of Shirley Pigott, M.D., of Victoria
A panel of the Texas Medical Board temporarily suspended the license of Shirley Pigott, M.D., license #F7054, of Victoria, after determining that Dr. Pigott's continuation in the practice of medicine prese ...
Description: Press Release March 26, 2009 (PDF File)
Document: ... 5-7030 or (800) 248-4062.
Medical Board Suspends License of Bruce Robin McFarland, M.D. of Corpus Christi
The Texas Medical Board entered an Automatic Suspension Order against Bruce Robin McFarland, M.D., license number H-3353, on March 16 after determining that Dr. McFarland had violated a previou ...
Description: Press Release March 28, 2006 (PDF File)
Document: ... 305-7030 or (800) 248-4062 Medical Board Suspends License of Arturo A. Torres, M.D., of Houston A panel of the Texas Medical Board temporarily suspended the license of Arturo A. Torres, M.D., license #H2085, of Houston, after determining that Dr. Torres' continuation in the practice of medicine pres ...
Description: Press Release April 01, 2005 (PDF File)
Document: ... s
Thursday, April 1, 2005 Medical Board Suspends License of Gary Lee Bryan, M.D., of Plano A panel of the Texas State Board of Medical Examiners suspended the license of Gary Lee Bryan, M.D., license number M0024, after determining that Dr. Bryan's continuation in the practice of medicine presents ...
Description: Press Release April 02, 2003 (PDF File)
Document: ... its February 28 meeting, the Texas State Board of Physician Assistant Examiners took disciplinary action against two licensed physician assistants. Twenty administrative penalties totaling $49,750 were assessed against physicians and physician assistants.
New Licenses Issued
During its March 27-28 ...
Description: Press Release April 03, 2008 A (PDF File)
Document: ... 05-7030 or (800) 248-4062
Medical Board Suspends License of Beauford Basped, D.O., of Fort Worth
A panel of the Texas Medical Board suspended the license of Beauford Basped, D.O., license #E3813, of Fort Worth, after a hearing in which the panel determined Dr. Basped had violated previous orders. T ...
Description: Press Release April 05, 2002 (PDF File)
Document: ... Releases
April 5, 2002 Medical Board Streamlines Physician Application Process The Texas State Board of Medical Examiners has significantly redesigned its physician licensure application process to fast-track the majority of the applications, while still giving greater scrutiny to more complex appl ...
“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
“... re issued once a month. Please refer to the License Issue Dates link on the left for detailed information on the scheduled licensing dates and deadlines. ”
When will I be issued my permanent license?
Permanent licenses are issued once a month. Please refer to the License Issue Dates link on the left for detailed information on the scheduled licensing dates and deadlines.
“... 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.
“... ite to the registration of a surgical assistant's license, 18 hours of continuing education are required every 12 months, with at least half being Category I. That is 36 hours of CE every 24 months (24 month timeline is in relation to the biennial registration period, not the calendar year). ... ”
How many hours of continuing education (CE) are required per year for a surgical assistant?
As a prerequisite to the registration of a surgical assistant's license, 18 hours of continuing education are required every 12 months, with at least half being Category I. That is 36 hours of CE every 24 months (24 month timeline is in relation to the biennial registration period, not the calendar year).
“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 obtain approval of the Board after submitting a written request. Please contact the Registration department for information on the approval procedure.If the request is granted, it may be granted without conditions or subject to such c ... ”
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 obtain approval of the Board after submitting a written request. Please contact the Registration department for information on the approval procedure.
If the request is granted, it may be granted without conditions or subject to such conditions which the board determines are necessary to adequately protect the public. Requests are reviewed on a case by case basis.
Below are some examples of conditions that may be required (alone or in combination) to return a retired license to an active status:
“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.
“... 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.”
“... 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 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.
“... 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. ... ”
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.
“... 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 ... ”
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 instructions for your fingerprint submission.
*Please note that completing your fingerprints prior to your renewal period will NOT enable you to renew your license early. Your registration window will only open within 60-90 days of your license expiration date.