Texas (TX)

Medical License Renewal in Texas — 2026 Complete Guide

Everything you need to know about renewing your Texas medical license through the Texas Medical Board (TMB). Updated for 2026.

Quick Facts: Texas Medical License Renewal
Medical Board Texas Medical Board (TMB)
Renewal Cycle Biennial
CME Hours Required 48 hours
Renewal Fee $491
Processing Time 2-4 weeks
Renewal Due Based on registration period

1 Step-by-Step: Renewing Your Texas Medical License

Follow these steps to renew your medical license with the Texas Medical Board (TMB):

  1. Complete 48 hours of CME credits with at least 24 in formal Category 1/1A courses
  2. Ensure all CME is reported and verifiable in CE Broker
  3. Log into the Texas Medical Board online portal and begin your renewal application
  4. Complete the biennial registration form and answer practice questions
  5. Pay the $491 biennial registration fee and submit

2 Texas CME Requirements

48 CME credits per 24-month biennial registration period. At least 24 must be formal Category 1 or 1A courses. Beginning September 1, 2026, physicians performing forensic exams on sexual assault survivors must complete 2 hours of CME in forensic evidence collection. All CME verified through CE Broker.

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3 Common Pitfalls to Avoid

These are the mistakes Texas physicians most commonly make during renewal:

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4 Frequently Asked Questions

How many CME hours does Texas require for medical license renewal?
Texas requires 48 CME credits per 24-month biennial registration period. At least 24 of those credits must be in formal, Category 1 or 1A courses.
How much does it cost to renew my Texas medical license?
The total biennial registration fee is approximately $491, which includes the TMB base fee ($370), Senate Bill 104 fee ($80), Prescription Monitoring Program fee ($11.48), National Practitioner Data Bank fee ($21), Physician Health Program fee ($7), and Office of Patient Protection fee ($2).
What is CE Broker and why does it matter for Texas renewal?
CE Broker is the electronic system the Texas Medical Board uses to verify CME compliance. If your completed CME credits are not reported in CE Broker, the TMB cannot verify compliance and you will be unable to renew your license.
Can I complete all my Texas CME online?
You can complete some credits online, but at least 24 of your 48 required credits must be in formal, Category 1 or 1A courses. Check with your CME provider to confirm their courses meet TMB formal category requirements.