Skip to main content
LARCH HEALTH
Sign up

Texas

Clinician license renewal in Texas

Renewal cycles, fees, CE requirements, and compact membership for nurse practitioners, physician assistants, and physicians in Texas. Sourced from state boards and the official compact registries; we surface the citation next to every claim and never invent a rule we can’t verify.

Last reviewed 05/08/2026.

Compact membership

Nurse Licensure Compact (NLC)

Full member

Source: nursecompact.com, as of 05/05/2026

Interstate Medical Licensure Compact (IMLC)

Member

Source: imlcc.com, as of 05/05/2026

APRN / nurse practitioner license

Renewal cycle
Biennial. APRN license + RX authority expire on the last day of the licensee's birth month, in an odd- or even-numbered year matching their birth year.
bon.texas.gov, as of 05/07/2026
Renewal fee
$54 APRN renewal every two years (per Chapter 223 fee schedule, as of 2026-05-07). APRNs holding a Texas RN license renew under the combined Advanced Practice Registered Nurse / Registered Nurse fee of $129. APRNs with prescriptive authority pay a Prescriptive Authority Renewal Surcharge of up to $15 in addition.
bon.texas.gov, as of 05/07/2026
Continuing education
20 contact hours of targeted continuing nursing education per biennium (or maintain national certification in the role and population). APRNs with prescriptive authority complete an additional 5 hours in pharmacotherapeutics; APRNs who have prescriptive authority and prescribe controlled substances complete an additional 3 hours on controlled-substance prescribing.
bon.texas.gov, as of 05/07/2026
Online renewal available
Confirm with Texas Board of Nursing

Track this credential automatically with Larch’s License tracking.

Physician assistant license

Renewal cycle
Biennial. PA registrations renew every 2 years; PAs may complete renewal online 60-90 days prior to expiration.
tmb.state.tx.us, as of 05/08/2026
Renewal fee
$576.48 biennial PA registration renewal effective 2/17/2026 — composed of $535 agency fee + $2 Office of Patient Protection + $21 NPDB + $7 PHP + $11.48 PMP. No grace period: a penalty fee equal to half the registration fee is added immediately at expiration; after 90 days the penalty equals a full registration fee. A license expired one year or more is automatically cancelled.
tmb.state.tx.us, as of 05/08/2026
Continuing education
40 CME credits every 24 months — at least 20 must be Formal Category I (AAPA-approved CME provider) and the remaining 20 may be Informal Category II (self-study, hospital lectures, grand rounds, case conferences). At least 2 of the 40 hours must be opioid-related CME (pain management, dosing, abuse risk factors) per the 86th Legislature's opioid bills. PAs must additionally complete an HHSC-approved human trafficking prevention course at each renewal under HB 2059 (one-time-per-cycle, must be repeated each renewal). NCCPA certification is required for initial Texas licensure but NOT for renewal of an active license.
tmb.state.tx.us, as of 05/08/2026
Online renewal available
Confirm with Texas Medical Board

Track this credential automatically with Larch’s License tracking.

MD / DO license

Renewal cycle
Confirm with Texas Medical Board
Renewal fee
Confirm with Texas Medical Board
Continuing education
Confirm with Texas Medical Board
Online renewal available
Confirm with Texas Medical Board

We’re still verifying Texas Medical Board’s MD/DO- specific renewal details. The most accurate source is the board itself — visit Texas Medical Board.

Track this credential automatically with Larch’s License tracking.

State controlled-substance registration

Some states layer a state-level controlled-substance registration (CSR or CDS) on top of the federal DEA; others rely on the DEA alone. Where Texasrequires one, it carries its own number, fee, and renewal clock — independent of the DEA cycle.

Required in this state
Confirm with Texas controlled-substances regulator

We’re still verifying Texas’s state CSR rules. Confirm with the Texascontrolled-substances regulator (often the Board of Pharmacy or a Department of Health office) before assuming you do or don’t need a state CSR alongside your DEA.

Track DEA + state CSR together with Larch’s DEA + CSR tracker.

Federal DEA registration

DEA registration is federal, not state-issued. DEA practitioner registrations renew on a three-year cycle and are tied to a specific practice address — multi-site clinicians typically hold one DEA per practice location, each with its own number and clock. The first renewal on or after June 27, 2023 also required a one-time MATE Act 8-hour training attestation; once attested, the credit carries forward.

See Larch’s DEA tracking page for details on the federal cycle, multi-site rules, and the MATE Act attestation requirements.

Common questions about Texas renewals

Is Texas a Nurse Licensure Compact (NLC) state?
Yes — Texas is a full NLC member. Nurses who hold an active multistate license issued by another compact state may practice in Texas without applying separately, and Texas residents may apply for a multistate license through the Texas Board of Nursing if they meet the NCSBN's Uniform Licensure Requirements. Note that nurses changing their primary state of residence to or from a compact state generally must apply in the new home state within 60 days. Source: NCSBN compact map.
Does the Interstate Medical Licensure Compact (IMLC) work for physicians in Texas?
Yes — Texas participates in the IMLC. Eligible physicians can use the compact's expedited pathway to obtain medical licenses in additional member states. Whether Texas serves as a physician's State of Principal License or only as a license-issuing state varies; check the IMLCC for current specifics. Source: IMLCC.
Does the federal DEA renewal cycle differ in Texas?
No. DEA practitioner registrations are federal and renew on a three-year cycle regardless of state. Registrations are tied to a specific practice address — not to the holder personally — so multi-site clinicians typically hold one DEA per practice location. Texas's state-level controlled-substance registration, if it requires one, is separate from the federal DEA.
How does Larch keep Texas's rules current?
A drift-detection job re-fetches each cited source on a weekly cadence and flags pages where the source content has changed since our last review. Where we don't have a verified detail, we surface "Confirm with [Board]" with a link to the issuing board — never a guess.

Track every TX credential on one calendar.

Larch keeps a clean clock on every license, DEA, state CSR, board cert, and CE hour. Smart renewal alerts on the schedule you set. Encrypted document vault. License tracker is $5/month or $49/year — bundle with Collaboration + CE for $119/year.

Start tracking

Sources for Texas

Other states

KansasMinnesotaNew JerseyOregonVermontAlaskaDistrict of ColumbiaIowaAll 51 →