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Search Term: 'primary source verification'

Servicemember and Spouse Professional License Recognition

“... assignment, but it is not a Texas license.   Verification of the approved recognitions is in the list below.   List of Servicemember & Spouse Professional License Recognition   Click here for information on how to apply for the Servicemember and Spouse Professional License Re ... ”

This content is located on the following page(s): Look up a License | Servicemember and Spouse Professional License Recognition

Specialties

“... physician profile contains the physician reported primary and secondary areas of practice. ”

This content is located on the following page(s): Physician Profile Descriptions

Health-Care Entity Notice - Tab 3

“... o, and I haven’t yet received an email or a verification in the mail.  How do I access my results? With the new system, it is the entity’s responsibility to log back into their account and download any available reports once they are completed. These reports will be available for d ... ”

This content is located on the following page(s): HCE Notice

Interstate Medical Licensure Compact

“... t ONE of the requirements below must apply: Your primary residence is in the SPL. At least 25% of your practice of medicine occurs in the SPL. Your employer is located in the SPL. You use the SPL as your state of residence for U.S. Federal Income Tax purposes. In order to remain active within the ... ”

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

E-Prescribing Waiver

“... lable for submission through your MyTMB account. Verification of an approved waiver will be displayed on the physician profile once granted.  Once approved, waivers will be issued for a period of one year.  Physicians may apply for a subsequent waiver no more than 30 days before an acti ... ”

This content is located on the following page(s): Renewal - Electronic Prescribing Waiver

Gold Designated Practice Status

“... rs utilize a Medical Home Agreement signed by the primary prescriber and the patient; or have a written collaborative, coordinated care agreement or a memorandum of understanding with the patient's primary physician for treating and managing the patient           OR &n ... ”

This content is located on the following page(s): Gold Designated Practice

Title: Medical Board 2012 - November - Licensure Committee - Agenda Item 7a

Description: Medical Board 2012 - November - Licensure Committee - Agenda Item 7a: Nonprofit Health Organizations - Initial Certification

Document: ... ) LAMAR COUNTY CLINICAL ASSOCIATES 9) NORTH TEXAS PRIMARY CARE ASSOCIATES 10) NORTHWEST TEXAS PHYSICIANS GROUP 11) PALADINA HEALTH GROUP OF TEXAS 12) PEDIATRIC PARTNERS FOR CHILDREN 13) PRE DIABETES PHYSICIAN SERVICES, INC 14) TEXAS BAY AREA CLINICAL SERVICES, INC 15) ZARZAMORA MEDICAL ASSOCIATES ...

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Title: Medical Board 2012 - November - Licensure Committee - Agenda Item 8b

Description: Medical Board 2012 - November - Licensure Committee - Agenda Item 8b: Proposed Changes to Board Rule 195

Document: ... than one physician owner of the clinic, only the primary physician owner shall be required to register with the board. (2) Determination of Eligibility by the Executive Director. The executive director shall review applications for certification and may determine whether an applicant is eligible fo ...

Click to view in browser - MB-2012-Nov-proposed-changes-rule195.pdf
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Title: Medical Board 2012 - November - Standing Orders Committee

Description: Medical Board 2012 - November - Standing Orders Committee Meeting Minutes

Document: ... actice site located about 100 yards away from his primary practice site in Abilene, Texas that will provide wellness care and for minor medical and chronic conditions. Dr. Zeitler moved to grant Dr. Purpuras request that site visit requirements for the alternate site be met through at least one week ...

Click to view in browser - MB-2012-Nov-standing-orders-comm.pdf
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Title: Medical Board 2013 - February - Licensure Committee - Agenda Item 6a: Proposed Changes to Board Rule 197

Description: Medical Board 2013 - February - Licensure Committee - Agenda Item 6a: Proposed Changes to Board Rule 197

Document: ... s performance specifications; (7) function as the primary liaison between the EMS administration and the local medical community, ascertaining and being responsive to the needs of each; (8) develop a letter or agreement or contract between the medical director(s) and the EMS administration outlining ...

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Title: Medical Board 2013 - February - Licensure Committee - Agenda Item 6b: Proposed Changes to Board Rule 172

Description: Medical Board 2013 - February - Licensure Committee - Agenda Item 6b: Proposed Changes to Board Rule 172

Document: ... of the institution. A recommendation must include verification that the physician has completed at least two years in a teaching faculty position under a faculty temporary license at the level of assistant professor or higher and that the duties of the physician in such position required activities ...

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Title: Medical Board 2013 - February - Standing Orders Committee

Description: Medical Board 2013 - February - Standing Orders Committee Meeting Minutes

Document: ... t's residences are considered to be visits to his primary practice site. Therefore, the 10% on-site supervision requirement does not apply, and there is no need to request a waiver from this requirement. Dr Sheinberg is withdrawing his application with the option of reapplying if his program expands ...

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Title: Duties of Program Director to Report Form

Description:

Document: ... ated, withdraws, or resigns from the program. Source Note: The provisions of this 161.58 adopted to be effective January 9, 2025, 50 TexReg 319. Location Address: Mailing Address Phone 512.305.7030 1801 Congress Avenue, Suite 9 - 200 P.O. Box 2029 ...

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Title: NCT Documentation Checklist & Eligibility Requirements

Description: NCT Documentation Checklist & Eligibility Requirements

Document: ... reflect program completion date. ☐ Program Verification Letter and Certified Transcript Required for NCT applicants who completed a LMRT or MRT program. Program must submit a letter outlining the total number of hours completed in the fundamentals of radiography and which course(s ...

Click to view in browser - NCT Documentation Checklist 01.2025.pdf
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Title: Hardship Exemption Application

Description:

Document: ... sical address of the applicant hospital, FQHC, or primary practice location of the practitioner; and - the actual distance in highway miles between the school and the applicant hospital, FQHC, or practitioner's primary practice. - The applicant shall include a map of the area clearly ind ...

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Title: COMPLAINT FORM

Description: Texas Medical Board - Complaint Form: The Board investigates complaints against physicians, physician assistants, acupuncturists, surgical assistants, respiratory care practitioners, medical radiologic technologists, medical physicists, and perfusionists. If you wish to complain to the Board, please ...

Document: ... understand that if I do not provide a name or a source this complaint will not be processed. If my complaint would be more appropriately addressed by a different agency or society, I authorize TMB to forward my complaint to that agency or society. Signature: Printed Name: Date: ...

Click to view in browser - TMB-EN-001-A_Licensee Complaint Form.pdf
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Title: NCT Program Application

Description:

Document: ... on Coordinating Board , which does not require a verification letter or other documentation. A copy of Form NCT 6 must be submitted as a cover sheet to the documentation submitted in response to the requirements noted on Form NCT 6 . Name of Program : ...

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Title: Medical Board Member Listing & Terms

Description: Medical Board Member Listing & Terms

Document: ... January 13, 2017 to April 13, 202 7 Odessa (Primary Care & Research) Satish Nayak, M.D. September 30, 2019 to April 13, 2025 Andrews (Family/Ob - Gyn) Manuel M. Quinone s, Jr., M.D. April 17, 2018 to April 13, 202 9 San Antonio (Family Practice) Luisa del ...

Click to view in browser - TMB Members Tenure List 8.20.2024.pdf
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Title: Referring Physician Attestation Form

Description: For Physician applicants who report solo practice work history.

Document: ... 2 Printed VERIFICATION OF PROFESSIONAL HISTORY 1. How long have you known the applicant? Years________ Months ________ 2. Is the applicant related to you? Yes No 3. Do you refer patients t o this applicant? ...

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Title: Pain Management Clinic Registration Form

Description: To apply for the pain management clinic certification, please download and fill out the form below.

Document: ... pplication should be submitted by the primary physician owner. An application is required for each clinic being operated. The following documents must be submitted with your completed registration form: • NPDB/HPDB – You, the clinic’s proposed ...

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Title: Surgical Assistant License Application

Description: Surgical Assistant License Application

Document: ... ram/school over the sealed flap. Examination Verification : You must have a letter submitted directly to the board from the appropriate testing service verifying that you passed a surgical assistant examination. To request your score report, contact the following: ABSA ( American Boar ...

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What is FCVS? What information do they collect? Would this service benefit my physician licensure application?

“The Federation Credentials Verification Service (FCVS) is a service created by the Federation of State Medical Boards to streamline the credentialing and licensing process. FCVS is not a requirement for Texas licensure and is in no way a guarantee of licensure or of an expedited application process ... ”

How do I retrieve my username and/or password for the HCE verification system if I lost it?

“If you are not able to locate your username and password, please submit a written request on letter head. Once your registration as an HCE has been verified, a letter will be sent to the address and contact of record with the username and/or password information.You may submit your written request t ... ”

How do I update the contact name for my registered HCE for the verification system?

“Please submit a written request for the contact update on letter head. Once your registration as an HCE has been verified, a letter will be sent to the address and contact of record with the username and/or password information. You may submit your written request to: Texas Medical Board Attn: HCE R ... ”

What information is available on a physician’s Profile?

“... and is available to the public through our online verification database. The Texas Occupations Code, Chapter 154.006 requires that information be made available through the physician profile system. In addition to the statutorily required information, the TMB has adopted rules (Chapter 162) regardin ... ”

Who needs to register a pain management clinic?

“... ued, are not transferable or assignable. Only the primary physician owner is required to register with the board if there is more than one physician owner of the clinic. Each clinic requires a separate certificate. ”

How many miles from my delegating physician can my practice site be?

“... en case, the distance between a physician’s primary practice and the practice site at which the physician’s delegates provide medical services may be an important factor in determining the quality of the physician’s supervision.  ... ”

How do I get a verification of my Texas license sent to another state?

“... on 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 verifi ... ”

How do I get a copy of my examination scores sent to another state?

“... 8-4000A small percentage of physicians can obtain verification of examination scores from TMB. If you were licensed before 1976 and you took the Texas State Board Medical Exam, please call the Pre-Licensure, Registration and Consumer Services at (512) 305-7030 to confirm the location of your scores. ... ”

When I search for my physician, I get a “No records Match” message. Does my physician have a license in Texas?

“... 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?

“... hysician assistant licenses are not available for verification online. Please contact us at (512) 305-7010 for a verbal verification. ”

How will I be notified if I am granted a waiver?

“... your waiver status, by choosing the “Print Verification” option on your profile. ”

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 ... ”

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