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Texas (TX)

Texas Medical License Renewal, 2026

Biennial (2 years) renewal through the Texas Medical Board. TMB assigns each license one of four expiration dates: February 28, May 31, August 31, or November 30. Even license numbers expire in even years, odd numbers in odd years. Verified from the board's own pages, August 2026.

Renew at the TX board portal →
Quick Facts: Texas Medical License Renewal
Medical Board Texas Medical Board
Renewal Cycle Biennial (2 years)
CME Hours Required 48 hours
Renewal Fee $491.48 (biennial physician registration, as of 9/1/2025): Agency fee $370.00 + SB 104 fee $80.00 + Office of Patient Protection $2.00 + NPDB $21.00 + Texas Physician Health Program $7.00 + PMP $11.48. Paper renewal adds a $50 surcharge when online renewal is available; credit card payment adds a Texas.gov processing fee (electronic check does not).
Processing Time "Allow 2 business days for processing" after online submission (TMB renewal page); registration permit is then available through the MyTMB portal (https://sso.tmb.state.tx.us/)
Renewal Due Your assigned date: Feb 28, May 31, Aug 31, or Nov 30
Late fee $75 penalty once the license is more than 30 days past expiration; increases to $150 after 90 days expired

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Get this guide by email: the Texas portal link, the renewal fee and deadline, and the full checklist. Free.

i Deadlines, fees, and what happens if you are late

When it is due
Fixed quarterly dates assigned by TMB at licensure. Board text: "Physician licenses expire at one of 4 times during the year; February 28th, May 31st, August 31st, or November 30th." The year is set by license-number parity: "Even number licenses expire in even number years and odd number licenses expire in odd number years." Initial registration is pro-rated (12-month $281.48 or 24-month $467.48) to land the license on its assigned cycle.
Fee
$491.48 (biennial physician registration, as of 9/1/2025): Agency fee $370.00 + SB 104 fee $80.00 + Office of Patient Protection $2.00 + NPDB $21.00 + Texas Physician Health Program $7.00 + PMP $11.48. Paper renewal adds a $50 surcharge when online renewal is available; credit card payment adds a Texas.gov processing fee (electronic check does not).
Late fee
$75 penalty once the license is more than 30 days past expiration; increases to $150 after 90 days expired (board renewal page, corroborated by former 22 TAC 175.3)
If you miss the deadline
30-day grace period after the expiration date with no penalty. 31-90 days expired: renew with $75 penalty. 91 days to one year expired: renew with $150 penalty. Board text: "If a license has been expired for one year or longer it is automatically cancelled." After cancellation the physician cannot practice in Texas in any capacity and "must file an application for re-licensure and meet all requirements for licensure in effect at that time" (a full new application, not a renewal).
Processing time
"Allow 2 business days for processing" after online submission (TMB renewal page); registration permit is then available through the MyTMB portal (https://sso.tmb.state.tx.us/)

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

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

  1. Complete your CME for the cycle (48 hours) (see details below)
  2. Log in to the Texas Medical Board renewal portal
  3. Complete the renewal application and answer the attestation questions
  4. Pay the renewal fee ($491)
  5. Submit and save your confirmation

2 Texas CME Requirements

48 hours per 2-year cycle.

Tracking your CME across multiple states is one of the most time-consuming parts of credential management. CredentialDOMD automatically monitors your CME progress and alerts you when you're falling behind, so you never miss a requirement.

3 Common Pitfalls to Avoid

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

Track your Texas license, CME, and DEA in one place

The reminder email above covers this renewal. The app goes further: it watches your TX renewal window, counts your CME hours against the requirement, and tracks your DEA registration alongside your license. Built by a practicing neurosurgeon who uses it daily. Free during beta.

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Invite-only beta. Founding-member perks go by signup order.

4 Frequently Asked Questions

When can I renew my Texas license online? ▾
The online renewal at https://renewals.tmb.state.tx.us/ph/login.aspx opens 60-90 days before your expiration date. TMB mails postcard reminders at least 60 days in advance, but the obligation to renew on time is yours regardless of whether the postcard arrives.
How much does renewal cost? ▾
$491.48 total for the two-year registration (as of 9/1/2025): $370 agency fee, $80 SB 104 fee, $21 NPDB, $11.48 PMP, $7 Texas Physician Health Program, and $2 Office of Patient Protection. Paper renewal adds $50; credit cards add a Texas.gov fee that electronic checks avoid.
What happens if I miss my expiration date? ▾
There is a 30-day grace period. From day 31 to day 90 past expiration you renew with a $75 penalty; from day 91 to one year, the penalty is $150. At one year expired the license is automatically cancelled and you must file a full re-licensure application meeting current requirements.
Do I send my CME certificates to the board when I renew? ▾
Currently you attest to CME compliance at renewal and keep records in case of audit. Starting September 1, 2026, all renewals require an active CE Broker account (basic tier is free) with all completed CE coursework reported in it; TMB states licensees cannot renew after that date without verified CE compliance through CE Broker.
How long does the renewal take to process, and where is my permit? ▾
TMB says to allow 2 business days for processing after online submission. Your registration permit is available electronically through the MyTMB portal at https://sso.tmb.state.tx.us/.
Why does my license expire in a different month than my colleague's? ▾
TMB assigns each license one of four expiration dates (February 28, May 31, August 31, or November 30) at the time of licensure, with initial fees pro-rated (12-month $281.48 or 24-month $467.48). Even-numbered licenses expire in even years, odd-numbered in odd years, so cycles vary physician to physician.

Medical License Renewal in Nearby States

OK Oklahoma License Renewal NM New Mexico License Renewal LA Louisiana License Renewal AR Arkansas License Renewal

✓ Where this comes from

From the board's own pages, August 2026. These are the primary sources we read:

Boards change fees and rules; always confirm on the board page before you pay. Report anything out of date to [email protected].

Take this guide with you

Get this guide by email: the Texas portal link, the renewal fee and deadline, and the full checklist. Free.