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 the Registration Department using the subject line: “PA renewal” and 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.
There are five steps to submit your online license renewal:
- Go to the Physician Assistant Online Registration/Renewal system. Please note that if you are not able to complete your online license renewal, your data will be automatically saved for you for 15 days. Upon your return to complete the renewal, you will be given the option to use your saved data or to begin again.
- Enter your License Number and last 4 of your Social Security Number.
- Review, confirm, or update your information, and complete your registration.
- Pay the registration fees with MasterCard, Visa, Discover, American Express, or Electronic Check.
- View and print receipt.
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 initial 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.
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.
As of 9/1/2025, the initial registration fee includes the $11.48 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.
| Length of Permit | Agency Fee | Ofc Pt Prot Fee | PMP | Total |
| 6 months | $133.75 | $5.00 | $11.48 | $150.23 |
| 9 months | $200.63 | $5.00 | $11.48 | $217.11 |
| 12 months | $267.50 | $5.00 | $11.48 | $283.98 |
| 15 months | $334.38 | $5.00 | $11.48 | $350.86 |
| 18 months | $401.25 | $6.00 | $11.48 | $418.73 |
| 21 months | $468.13 | $6.00 | $11.48 | $485.61 |
| 24 months | $535.00 | $6.00 | $11.48 | $552.48 |
As of 9/1/2025, the biennial registration fee includes the $11.48 Prescription Monitoring Program (PMP) fee, $7.00 for the Physician Health Program (PHP) and a $2 Office of Patient Protection fee. These fees are required by statute. The remaining amount is the fee required by the TMB.
These fees are explained in more detail in the chart below.
| Length of Permit | Agency Fee | Ofc Pt Prot Fee | *PHP | PMP | Total |
| 24 months | $ 535.00 | $ 2.00 | $ 7.00 | $ 11.48 | $ 555.48 |
*Fees are not refundable.
Initial Registration – 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.
Subsequent Renewal of Registration - There is no grace period for the expiration date of a physician assistant license. Once the expiration date has occurred, a penalty fee equal to one half of the registration fee will be added. After 90 days, the penalty fee will increase to equal a full registration fee. If a license has been expired for one year or longer it is automatically cancelled.
No financial information is seen, processed, or stored by the Texas Medical Board.
The payment portion of the online registration system is handled by Texas.gov, the official website of Texas. The price of this service includes funds that support the ongoing operations and enhancements of Texas.gov, which is provided by a third party in partnership with the State. Texas.gov will remit the amount paid to the Texas Medical 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: $555.48 Registration fee due
$568.24 Total amount charged on credit card
Ex: $555.48 Registration fee due
$555.48 Total amount charged through electronic check
Non-online (paper) registration:
An additional processing fee of $50 will be charged to those licensees who choose to register through a paper form, when an online option is available. If an online option is not available (ex: license is delinquent or suspended at the time of registration) the additional processing fee will not be required.
To request a hard copy registration form, please contact the Registration Department via email or call (512) 305-7030.
The Texas Medical Board uses electronic permits for a more paperless experience and print on demand for licensees. Once your registration/renewal is complete, please allow 2 business days for processing. After that time, you will be able to log into your MyTMB account and view, save or print a copy of your active license.
Please note that primary source verification regarding licensure status is always available to anyone, including licensees’ employers, via the TMB website through ‘Look up a License’.
Licensees can register online up to 60-90 days prior to expiration. If you cannot proceed with online registration, try again closer to your expiration date. If it is less than 60 days prior to expiration, please email us at Registrations@tmb.state.tx.us.
The payment portion of the online registration system is handled by Texas.gov, the official website of Texas. A printable receipt will be provided at the end of the online registration process. In addition, a printable confirmation of payment receipt will be emailed to the address given as part of the Texas.gov payment process. As of May 1, 2025 Texas.gov has a new vender for the payments submitted. The TMB online payments will have a staggered rollout for this new payment vender, so this email receipt will be sent from either “noreply.tmb@egov.com” or “donotreply@snappayglobal.com”.
Additional copies of the receipt will be provided by request only. Submit your request to Registrations@tmb.state.tx.us. Please include your full name, license number, date of payment, and amount paid.
Please note that the Board does not have a “zero balance receipt” that shows that a licensee has a zero balance or that licensee registration has been paid in full, nor can we provide an individualized billing statement of the amount due to complete license registration/renewal.
An additional processing fee of $50 will be charged to those licensees who choose to register through a paper form, when an online option is available. If an online option is not available (ex: license is delinquent or suspended at the time of registration) the additional processing fee will not be required.
To request a hard copy registration form, please contact the Registration Department at Registrations@tmb.state.tx.us or (512) 305-7030.
The Board understands that medical or mental health treatment is a normal part of many people's lives and receiving treatment such as counseling or therapy does not alone disqualify a licensee. However, the Board is obligated to determine whether a licensee is physically and mentally fit to practice and, therefore, must inquire to the extent necessary to make this determination. While the renewal process does include a question pertaining to impairment, the question has been thoughtfully written to limit overly broad probing language that might dissuade health professionals from seeking treatment and reporting their conditions.
NCCPA Certification is required for initial licensure in Texas but not for renewal of an active Texas Physician Assistant License.
There is no grace period for the expiration date of this license. Once the expiration date has occurred, penalty fee equal to one half of the registration fee will be added. After 90 days, the penalty fee will increase to equal a full registration fee. If a license has been expired for one year or longer it is automatically cancelled.
Refunds of application/registration fees are available in very limited circumstances. These fees may be refunded in cases of administrative error by the TMB; applicants who withdraw their applications within 45 days of initial application, licensees who retire or request cancellation within 90 days of paying the fee, or on behalf of applicants/licensees who die within 90 days of paying the fee. A pro-rated refund may be requested for good cause by a spouse or personal representative of an applicant/licensee who has died more than 90 days after paying the application/registration fee.
No, there is not. However, military personnel, with questions regarding registration or permits, who are being deployed, should contact the TMB.