- My TMB |
- Contact Us |
-
-
“
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 ... ”
“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 ... ”
“... icense limited solely and exclusively to practice in a medically underserved or health professional shortage area.
The holder of a Medical License Limited to Underserved Area is subject to the Medical Practice Act and the same Rules of the board as a person holding a full Texas medical license, ... ”
“
If I work in a clinic owned by the hospital, is this considered a facility-based practice?
Is a prescriptive authority agreement required in a hospital or long term care facility-based practice?
At how many facilities can one physician delegate prescriptive authority through protocols?
Who m ... ”
“... thesia; the delivery of tumescent anesthesia in conjunction with the delivery of narcotic analgesics or anxiolytics by mouth in dosages as defined under Level I, as prescribed for the patient on order of a physician; or except for the performance of Mohs micrographic surgery, the administration ... ”
“... ypnotics to achieve moderate sedation, as defined in Board rule. Level III services do not include deep sedation or general anesthesia.
A physician and at least one other personnel must be present during the procedure and recovery until ready for discharge. The physician must be currently certified ... ”
“... sion. Physicians who practice medicine in Texas and who administer anesthesia or perform a procedure for which anesthesia services are provided in outpatient settings at Level IV shall follow current, applicable standards and guidelines as put forth by the American Society of Anesthesiolo ... ”
“... ation reminders will be sent out at least 60 days in advance of the expiration date.
Physician Assistant Online Registration/Renewal
There are five simple steps to submit your online license renewal:
Please note that if you are not able to complete your online license renewal, your da ... ”
“... go to Look up a License (This includes Physician Profiles and provides links to view Board Orders, where applicable).
Non-Profit Health Organizations
Chief Medical Officer Designation
Electronic Death Certificate
Jointly Owned Physician / PA
Institutional Review Board (IRB) Ann ... ”
“All physicians, physician assistants, acupuncturists and others licensed by the TMB to practice in Texas are currently required to register regularly with the board, and pay a fee. Registration fees and renewal periods vary according to license type. A licensee may obtain a registration ... ”
“... ysicians (Full/Administrative/Conceded Eminence),
Physician Assistants,
Acupuncturists,
Faculty Temporary Licenses (FTLs),
Medical Radiologic Technologists - General Certificate (MRTs) AND Temporary General Certificate (TMRT),
Medical Radiologic Technologists - Limited Certificate (LMRTs) AND Tempor ... ”
“The registration fee includes a $1 per year Office of Patient Protection fee. These fees are required by statute. The remaining fee is required by the TMB.
These fees are explained in more detail in the chart below.
Subsequent Registration
Length of Permit
Agency Fee
OPP
Total c ... ”
“... re the TMB to maintain a profile on each licensed physician. This profile information is gathered in conjunction with the license registration and is available to the public through our online verification database located here:
Look up a License
... ”
Description: Press Release May 03, 2007 A (PDF File)
Document: ... , after determining that Dr. White's continuation in the practice of medicine presents a continuing threat to the public welfare.
The temporary suspension hearing took place Thursday, April 26, under the Board's authority, granted by S.B. 104 of the 78th Legislature, to suspend or restrict a physic ...
Description: Press Release May 04, 2005 (PDF File)
Document: ... of the 78th Legislature, to suspend or restrict a physician's license without notice when it determines the physician's continuation in practice would constitute a continuing threat to the public welfare. Tuesday's all-day public hearing was held with notice before a three-member panel of board memb ...
Description: Press Release May 05, 2009 (PDF File)
Document: ... rd currently has a complaint pending at the State Office of Administrative Hearings alleging that Dr. Dotson had failed to comply with other provisions of the 2008 order and other previous orders and that he had failed to practice medicine in an acceptable professional manner consistent with public ...
Description: Press Release May 08, 2007 A (PDF File)
Document: ... after determining that Dr. Halbert's continuation in the practice of medicine presents a continuing threat to the public welfare.
The action was based on Dr. Halbert's prescribing controlled substances to a family member on an ongoing basis without thorough physical examination and without maintain ...
Description: Press Release May 13, 2008 A (PDF File)
Document: ... nal conduct. Physicians who choose to participate in the new fast-track system can agree to administrative charges and pay a fine, rather than undergo a full investigation and the resulting stress and expense. A licensee who disputes the charges can contest the violation in writing and the case will ...
Description: Press Release May 14, 2004 (PDF File)
Document: ... e after determining that Dr. Hughes' continuation in the practice of medicine presents a continuing threat to the public welfare. Dr. Hughes, 53, is a child psychiatrist in Arlington. The allegations included sexual misconduct with adolescent patients. The panel's determination was made after review ...
Description: Press Release May 17, 2006 (PDF File)
Document: ... after determining that Dr. Prince's continuation in the practice of medicine presents a continuing threat to the public welfare. The action was based on the following: providing false information to the board; inability to practice with reasonable skill and safety due to substance abuse; intemperat ...
Description: Press Release May 17, 2007 A(PDF File)
Document: ... after determining that Dr. Chavez's continuation in the practice of medicine and Mr. Cano's continuation in practice as a surgical assistant present a continuing threat to the public welfare.
The temporary suspension hearing took place Wednesday under the Board's authority, granted by S.B. 104 of ...
Description: Press Release May 17, 2007 B (PDF File)
Document: ... ber E6093 after determining that his continuation in the practice of medicine presents a continuing threat to the public welfare.
The temporary suspension hearing took place Wednesday under the Board's authority, granted by S.B. 104 of the 78th Legislature, to suspend or restrict a physician's lice ...
Description: Press Release May 17, 2011 (PDF File)
Document: ... 2-305-7030 or 800-248-4062
Board suspends Austin physician, David Jacoby, M.D.
On Monday, May 16, 2011, a disciplinary panel of the Texas Medical Board held a Temporary Suspension Hearing Without Notice and suspended the license of Austin physician David James Jacoby, M.D., after determining that D ...
Description: Press Release May 21, 2002 (PDF File)
Document: ... trative penalties totaling $12,500 were assessed. In addition, the board temporarily suspended the licenses of two physicians during May. The board also took disciplinary action against one acupuncturist. At its meeting on April 26, the Texas State Board of Physician Assistant Examiners took discipl ...
Description: Press Release May 21, 2007 A (PDF File)
Document: ... se #F8731, of Orange. The action took place today in a Probationer Show Compliance Proceeding in which the board panel found that Dr. Wheeler was in violation of the provisions of a 2005 order that authorized the immediate suspension of his license for failure to comply with the order.
The action w ...
Description: Press Release May 24, 2010 (PDF File)
Document: ... after determining that Dr. O'Neal's continuation in the practice of medicine presents a continuing threat to public health and safety. The Temporary Suspension Hearing Without Notice took place under the Board's authority, granted by the Medical Practice Act, to suspend or restrict a physician' s l ...
Description: Press Release May 24, 1999 (PDF File)
Document: ... trative penalties totaling $10,000 were assessed. In addition, the Board disciplined one acupuncturist. The Texas State Board of Physician Assistant Examiners, at its April 29-30 meeting, disciplined six physician assistants. Board Continues Rule Review In accordance with House Bill No. 1, 75th Legi ...
Description: Press Release May 27, 2008 A (PDF File)
Document: ... his summer to host a series of Town Hall meetings in communities across the state to meet with medical professionals and the public to gather input and feedback about regulation of the medical profession. In conjunction with the Town Hall meetings, TMB also will offer in-depth seminars for entities ...
“... 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.
“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 submit an application online for re-activation/re-licensure and meet all of the current requirements for licensure. ”
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 submit an application online for re-activation/re-licensure and meet all of the current requirements for licensure.
“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.
“There is nothing that discusses how far ahead of time the PMP check can be undertaken, however the reason for the requirement is to ensure that prescribers have as much information as possible in order to make informed decisions about prescribing certain controlled substances. If the PMP check ... ”
How far ahead of time can I check the PMP?
There is nothing that discusses how far ahead of time the PMP check can be undertaken, however the reason for the requirement is to ensure that prescribers have as much information as possible in order to make informed decisions about prescribing certain controlled substances. If the PMP check is completed too far ahead of time, then there may be new information in the PMP that the prescriber is not considering.
The PMP is updated on a 24-hour basis and therefore contains information accurate up to 24 hours prior to completion of the check.
“At this time, all you must do is fill out the waiver application. No additional information is currently required. ”
What do I need to submit to TMB in order to qualify for a waiver?
At this time, all you must do is fill out the waiver application. No additional information is currently required.
“... 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.”
“... erprints. This ID number is assigned at the time of application submission. If you were assigned a 5-digit ID number at the time of your application submission, please use a leading zero when submitting your fingerprints. Example: ID number “12345” becomes “012345”. ... ”
What if my Board issued ID number is only 5 digits long?
A Board issued 6-digit ID number is required for submitting your fingerprints. This ID number is assigned at the time of application submission. If you were assigned a 5-digit ID number at the time of your application submission, please use a leading zero when submitting your fingerprints. Example: ID number “12345” becomes “012345”.
“... ; 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.st ... ”
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.
“Not at this time. Fingerprinting services are provided through IdentoGo by IDEMIA (formerly known as MorphoTrust USA, LLC) for a fee, payable directly to IdentoGo. Results of the fingerprinting will be sent directly to TMB from both the Texas Department of Public Safety Criminal Records and the Fede ... ”
Can I get my fingerprints done anywhere?
Not at this time. Fingerprinting services are provided through IdentoGo by IDEMIA (formerly known as MorphoTrust USA, LLC) for a fee, payable directly to IdentoGo. Results of the fingerprinting will be sent directly to TMB from both the Texas Department of Public Safety Criminal Records and the Federal Bureau of Investigation.