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“... ard investigates complaints against the following license types.
Physicians,
Physician Assistants,
Acupuncturists,
Medical Radiologic Technologists,
Respiratory Care Practitioners,
Medical Physicists,
Perfusionists and
Surgical Assistants.
Nurses: TMB does not have the authority to investig ... ”
“Search our databases for license and permit information on physicians, physician assistants, acupuncturists, medical radiological technologists, non-certified radiologic technicians, respiratory care practitioners, medical physicists, and perfusionists licensed by the State of Texas. ... ”
“... ackground information. Physician profiles include license status, educational background, disciplinary actions, as well as information self-reported by the licensee but not verified by the TMB (e.g. primary practice address, hospital privileges, delegation information, etc.) All verifications also i ... ”
“... ist to assist you in determining your eligibility for licensure. It is not meant to cover all circumstances – only the most common.
Checklist for Eligibility
Requirements
An Associate's Degree from a 2 or 4-year institution or greater.
Successfully completed an educational program that meets ... ”
“... readsheet of current Surgical Assistant Licensees
For additional updates please contact Pre-Licensure, Registration and Consumer Services (PRC) by phone at (512) 305-7030 or by fax at (512) 463-9416.
Surgical Assistants with Disciplinary Action
The link below will allow a search of any Board ... ”
“... squo;s check, or money order payable to the Texas Medical Board. An additional non-refundable surcharge related to the Texas Physician Health Program ($7) will be assessed with the application fee. The entire fee must be submitted before your application can be assigned and processed.
Su ... ”
“Per Board Rule 172.3, the medical director of a pain management clinic must, on an biennial basis, ensure that all personnel (including the medical director) are properly licensed, and if applicable, trained to include 10 hours of continuing medical education (CME) related to pain management.&n ... ”
“... hure
Provides helpful information about the Texas Medical Board, its disciplinary process, how to research a licensee, and how to file a complaint.
TMB Consumer Brochure
Consumer Guide to Health Care
This guide for consumers on the quality of healthcare and healthcare billing and pri ... ”
“... r written request to:
Open Records
Texas Medical Board
You may send your request by:
mail to: P.O. Box 2018, Austin TX 78768
e-mail to: openrecords@tmb.state.tx.us
fax to: &nbs ... ”
“TEXAS MEDICAL BOARD RESOURCE EFFICIENCY PLAN
The Texas Medical Board is committed to energy conservation by ensuring our facilities are operating in an efficient and effective manner.
Regarding energy management, the TMB’s original Resource Efficiency Plan (REP), submitted October 2002, ... ”
“Once a license is cancelled, the acupuncturist will no longer be able to practice in the state of Texas as an acupuncturist. In order to practice again in Texas following cancellation, a acupuncturist must file an application for relicensure and meet all requirements for licensure in effect at ... ”
“An Administrative Medicine license is a limited license that allows physicians to use the medical and clinical knowledge, skill, and judgment of a fully licensed physician in ways which may affect the health and safety of the public or any person.
It does not include the authority to
&n ... ”
“Welcome to the Texas Medical Board’s (TMB) Employment Opportunities page. TMB is housed in the George H.W. Bush State Office Building at 1801 Congress Avenue, Suite 9.200, just north of the Texas State Capitol in the Capitol Complex.
We employ over 200 people in a wide variety of professional, ... ”
“... particular area.
To protect the public, the Texas Medical Board (TMB) has taken steps to standardize what “board certified” means under TMB advertising rules. In October 2010 the TMB amended its Physician Advertising rules.
According to the new rules, a physician may use the term "board ... ”
“As a prerequisite for acupuncturist registration, practitioners are required to complete continuing acupuncture education.
Human Trafficking Prevention Requirement
House Bill 2059 (86th Legislature) requires physicians, physician assistants, and any licensee of the TMB’s advisory boards ... ”
Description: TEXAS PHYSICIANS ASSISTANT BOARD MINUTES OF THE DISCIPLINE AND ETHICS COMMITTEE December 4, 2009
Document: ... , and Edward W. Zwanziger, PA-C. Also present was Medical Director Alan T. Moore, M.D., Jane McFarland, Chief of Staff, and Mari Robinson, Executive Director, and various other staff.
Agenda Item #2. Review, discussion and possible action regarding appeals of dismissed complaints. A. Jurisdictional ...
Description: TEXAS PHYSICIAN ASSISTANT BOARD BOARD MEETING December 4, 2009
Document: ... i Robinson, Executive Director; Alan Moore, M.D., Medical Director; Nancy Leshikar, General Counsel; Tonie Knight, Manager of Licensure; Jennifer Kaufman, Assistant General Counsel; and various other staff members. Agenda item #2, Board Member Report. Ms. Bentley gave a report on the appointment of ...
Description: TEXAS PHYSICIAN ASSISTANT BOARD LICENSURE COMMITTEE MEETING MINUTES December 4, 2009
Document: ... the Licensure Committee by the Executive Director for
determination of eligibility of licensure.
Applicant #887 appeared before the Committee after referral by the Executive Director. Mr. Reyna moved to recommend to the full Board that the applicant be referred to the Texas Physicians Health Progr ...
Description: TEXAS PHYSICIAN ASSISTANT BOARD BOARD MEETING December 3, 2010
Document: ... Agenda item #2, Consideration and possible action for the Proposal for Decision 1. Donald Gene Holmes, P.A., SOAH #503-10-0658. Suzanne Marshall, Administrative Law Judge, presented the Proposal for Decision on behalf of Judge Hunter Burkhalter. Donald Gene Holmes, P.A., was not present. Staff attor ...
Description: TEXAS PHYSICIANS ASSISTANT BOARD MINUTES OF THE DISCIPLINE AND ETHICS COMMITTEE December 3, 2010
Document: ... ts. Ms. Robinson presented the Enforcement Report for August 2010, a copy of which is attached. This was an informational item only and no vote was necessary. Agenda Item #4. Discussion, recommendation, and possible action related to Physician Assistant medical malpractice reporting. Staff was direc ...
Description: TEXAS PHYSICIAN ASSISTANT BOARD LICENSURE COMMITTEE MEETING MINUTES December 3, 2010
Document: ... the Licensure Committee by the Executive Director for
determination of eligibility of licensure.
Applicant #1038 appeared before the Committee, with counsel, after referral by the Executive Director. Dr. Mitchell moved to recommend to the full Board that the applicant be granted a temporary licens ...
Description: TEXAS PHYSICIANS ASSISTANT BOARD Physician Assistant Owned Clinics Ad Hoc Committee December 3, 2010
Document: ... nal information and to add the issue to the Texas Medical Board and Physician Assistant Board meeting agendas in February for further comments and input. There being no further agenda items, the meeting adjourned at 11:50 a.m.
Description: TEXAS PHYSICIAN ASSISTANT BOARD LICENSURE COMMITTEE MEETING MINUTES December 9, 2011
Document: ... Jones announced that the meeting would be closed for deliberations at 8:37 a.m. for private consultation and advice of counsel concerning pending or contemplated litigation, settlement offers, and/or legal matters subject to the attorney-client privilege and for deliberations concerning personal ma ...
Description: TEXAS PHYSICIAN ASSISTANT BOARD BOARD MEETING December 9, 2011
Document: ... nson, Executive Director; Linda Gage-White, M.D., Medical Director; Jaime Garanflo, Director of Licensure and Customer Affairs; Jennifer Kaufman, Assistant General Counsel; and various other staff members. The boards mission statement was read: Our Mission is to protect and enhance the public's heal ...
Description: TEXAS PHYSICIANS ASSISTANT BOARD MINUTES OF THE DISCIPLINE AND ETHICS COMMITTEE December 9, 2011
Document: ... so present was Mari Robinson, Executive Director, Medical Director Linda Gage-White, M.D., and various other staff. Agenda Item #2. Review, discussion and possible action regarding appeals of dismissed complaint. A. Jurisdictional Complaint: 11-7188. Ms. Bentley moved, and Dr. Baptiste seconded that ...
Description: TEXAS PHYSICIANS ASSISTANT BOARD MINUTES OF THE DISCIPLINE AND ETHICS COMMITTEE December 14, 2012
Document: ... so present was Mari Robinson, Executive Director, Medical Director Robert Bredt, M.D., and various other staff. Established circa February 2010, Executive Director of the Texas Physician Health Program (TX PHP), Dr. Bill Nemeth, was introduced to the Texas Physicians Assistant Board Discipline and E ...
Description: TEXAS PHYSICIAN ASSISTANT BOARD BOARD MEETING December 14, 2012
Document: ... .D, PA-C; and Stanley Wang, M.D, liaison from the Medical Board. Reginald Baptiste, M.D.; James Endicott, Jr.; Michael Reis, M.D. were not present. Staff members present were Mari Robinson, Executive Director; Robert Bredt, M.D., Medical Director; Tonie Knight, Licensure Manager; Jennifer Kaufman, A ...
Description: LICENSURE COMMITTEE MEETING MINUTES December 14, 2012
Document: ... the Licensure Committee by the Executive Director for
determination of eligibility of licensure.
Applicant #1326 appeared before the Committee after referral by the Executive Director. Following discussion, Dr. Rahr moved to recommend to the full Board that the applicant be granted a Texas physici ...
Description: DISCIPLINE & ETHICS REVIEW & DECISIONS Texas Physician Health Program (Probationer/Licensee Violated PHP Agreement & Cases of Concern) December 14, 2012
Document: ... th the understanding that there is zero tolerance for any future infractions, if so, the case will be returned to the jurisdiction of the Texas Medical Board for further action.
Issue(s): Participant signed an agreement following two DUI convictions, one while in college and the other one more rece ...
Description: TEXAS STATE BOARD OF PHYSICIAN ASSISTANT EXAMINERS BOARD MEETING MINUTES FEBRUARY 28, 2003
Document: ... er staff. It was announced that there was no need for the executive session under agenda item #2. Agenda item #3, Executive Directors report, was next. Dr. Patrick and Mr. Walker reported on legislative and budget issues. Mr. Walker explained in detail the mandate to reduce spending by 7% during the ...
“... want to seek the advice of private legal counsel.For a prescriptive authority agreement executed on or after September 1, 2019, the agreement must, at a minimum:(1) be in writing and reviewed, signed and dated by the parties to the agreement on an annual basis;(2) state the name, addres ... ”
What must be included in a prescriptive authority agreement?
It depends upon when the agreement was executed. Note that there have been several changes to the law affecting this area in recent legislative sessions. To understand how the law might apply to your situation, you may want to seek the advice of private legal counsel.
For a prescriptive authority agreement executed on or after September 1, 2019, the agreement must, at a minimum:
(1) be in writing and reviewed, signed and dated by the parties to the agreement on an annual basis;
(2) state the name, address, and all professional license numbers of the parties to the agreement;
(3) state the nature of the practice, practice locations, or practice settings;
(4) identify the types or categories of drugs or devices that may be prescribed or the types or categories of drugs or devices that may not be prescribed;
(5) provide a general plan for addressing consultation and referral;
(6) provide a plan for addressing patient emergencies;
(7) state the general process for communication and the sharing of information related to the care and treatment of patients;
(8) if alternate physician supervision is to be utilized, designate one or more alternate physicians; and
(9) describe a prescriptive authority quality assurance and improvement plan and how it will be implemented. The plan must require chart reviews and periodic meetings.
“No. Free standing clinics, centers or other medical practices that are owned or operated by or associated with a hospital or long term care facility that are not physically located within the hospital or long term care facility are not considered facility based practices. Prescriptive au ... ”
If I work in a clinic owned by the hospital, is this considered a facility-based practice?
No. Free standing clinics, centers or other medical practices that are owned or operated by or associated with a hospital or long term care facility that are not physically located within the hospital or long term care facility are not considered facility based practices. Prescriptive authority agreements are required in these settings.
“... sed 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.
“... are facility based practice, delegation is by the medical director. ”
Who may delegate prescriptive authority in a long term care facility based practice?
In a long term care facility based practice, delegation is by the medical director.
“... icians 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 duri ... ”
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.)
“... nbsp; 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 ... ”
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.)
“... cordance 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 ... ”
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.
“... nd 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 ... ”
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.
“For physicians only:If another state board requires your examination grades, please be advised that most physicians will have to contact the Federation of State Medical Boards to obtain examination scores.Federation of State Medical Boards 400 Fuller Wiser Rd. Suite 300 Euless, TX 76039-3855 Tel. (8 ... ”
How do I get a copy of my examination scores sent to another state?
For physicians only:
If another state board requires your examination grades, please be advised that most physicians will have to contact the Federation of State Medical Boards to obtain examination scores.
Federation of State Medical Boards
400 Fuller Wiser Rd.
Suite 300
Euless, TX 76039-3855
Tel. (817) 868-4000
A small percentage of physicians can obtain verification of examination scores from TMB.
please call the Pre-Licensure, Registration and Consumer Services at (512) 305-7030 to confirm the location of your scores.
There is no fee for this verification.
“... 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 discl ... ”
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.
“... 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.
“... ry 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.
“The requirements are the same for International Medical School Graduates (IMGs) and U.S. or Canadian medical school graduates except that: IMGs must demonstrate that they are either ABMS or BOS specialty board certified, have graduated from a medical ... ”
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: