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 Registrations@tmb.state.tx.us using the subject line: “PA renewal”, and please also include your license number. This will help us route your request appropriately for a faster response.
Physician assistants can complete renewals online 60-90 days prior to expiration. Registration reminders will be sent out at least 60 days in advance of the expiration date.
To register Supervision and/or Delegation, use the online system to file the notice of intent to practice/supervise forms required of PAs and physicians AND to register prescriptive authority, prior to beginning to practice.
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 days of the date your license was issued to avoid penalty fees. If you have not registered your license within 90 days of your license issue date, a penalty fee equal to ½ the registration 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 a fee equal to a full registration fee. If you do not register within 12 months of the date of issuance of your license, your license will be considered canceled.
Initial Registration Fee as of 9/1/2023
The Board assigns a first registration period. These vary in length from 6 to 24 months. First time registration fees are prorated accordingly. Subsequent registrations will be two years in length and will be due on the same day each renewal.
The initial registration fee includes the $13.48 Prescription Monitoring Program (PMP) fee, and a $5 Office of Patient Protection fee for the first year, with an additional $1 charged for any subsequent year. These fees are required by statute and cannot be pro-rated. The remaining amount is required by the Physician Assistant Board and prorated for each permit length.
These fees are explained in more detail in the chart below.
Initial Registration