Texas Medical Board Enforcement Update and CE Tracking

TMB Bulletin - March 2026 1 BULLETINMessage from the TMB PresidentMARCH 2026As I’ve mentioned in past messages related to TMB enforce-ment, the Board acknowledges the stress and anxiety that accompany receiving notification of a complaint related to your practice. Regardless of whether the complaint concerns a minor administrative violation or a more significant standard of care issue, each one demands your attention and that of the Board.It is important to understand that the Board is required by law to review and address every jurisdictional complaint it receives. The Board seeks to ensure both complain-ants and licensees are treated fairly. Although the law prescribes specific sanctions for certain violations, thereby limiting the Board’s flexibility in these cases, there is room for discretion in other areas.In recent years, the Board conducted a comprehensive evaluation of its enforcement procedures, particularly focusing on these discretionary areas, with the objective of streamlining enforcement activities for agency staff and simultaneously reducing compliance burdens for licensees. Included in this review was an assessment of whether current enforcement tools were overly punitive for certain infractions - especially when it came to administrative matters.I am pleased to say that, because of this thoughtful review, the Board is now taking a less aggressive approach to many violations – especially those that are administrative or isolated. The Board has introduced new enforcement tools to resolve complaints with maximum efficiency while ensuring licensee accountability and patient safety remain uncompromised. These tools Inside This IssuePresident’s MessageArticlesFormal ComplaintsDisciplinary Actions2-6Dr. Zaafraninclude warning letters and letters of concern and are part of a progressive discipline model. I would like to take this opportunity to provide further explanation regarding the nature of these letters, their applications, and what licensees can anticipate if they receive one.First, warning letters. Warning letters are non-disciplinary in nature and provide an informal resolution for certain respondents and violations. Warning letters are reserved for administrative matters such as billing, failure to release medical records, and continuing education audit violations. They cannot be used to address complaints involving criminal conduct, imminent harm to the public or patient safety, standard of care allegations, boundary violations, Refining TMB EnforcementRetain for Future Reference

TMB Bulletin - March 2026 2 or impairment. Warning letters will not be issued in cases where a licensee has previously received a warning letter, remedial plan, or agreed order for the same issue. By way of example, the Board could issue a warning letter if they get a complaint about a provider not releasing medical records according to Board rules. The warning letter would inform the licensee that they have an opportunity to fix this by a specified date and report back to the Board to avoid further action. If the licensee provides documentation that corrective action has been taken, the matter will be dismissed, the existence of the complaint will be non-public, and it will not be reported to any outside entities such as the National Practitioner Data Bank (NPDB). However, the complaint and the warning letter will become part of the licensee’s historical file with the Board. Future complaints of similar violations could lead to a non-disciplinary Remedial Plan or a disciplinary Agreed Order under the progressive discipline model. Essentially, warning letters have now taken the place of Remedial Plans for many first-time, minor administrative violations. This change reduces the administrative and financial burden on licensees and allows the Board to concentrate its efforts on more serious violations. In many cases the warning letter also quickly resolves the dispute to the complainant’s benefit. Next, letters of concern. Letters of concern are also non-disciplinary in nature but can be used to resolve certain standard of care violations. To qualify for a letter of concern, the standard of care violation must be limited to a single patient, and it cannot involve severe patient harm, patient death, or sexual boundaries, and cannot include impairment allegations. Letters of concern are issued only after a TMB physician-in- vestigator has initially reviewed the complaint, the licensee has formally responded to the allegations, and an outside expert panelist has reviewed the complaint along with the documentation provided by the licensee. If the expert finds a violation of the standard of care, a letter of concern will notify the licensee that violations were found, and the licensee will be provided with a copy of the expert panelist report. The letter of concern will indicate that the Board has chosen not to pursue further investigation or disciplinary action but will encourage licensees to closely review the care provided in the case, reflect on the experts’ findings outlined in the panelist report, and use it as opportunity to evaluate their current practices to prevent similar issues in the future. The letter of concern will also indicate that the matter has been dismissed, but a record of the complaint—including the licensee’s response—will be maintained in the Board’s confidential historical records. As with warning letters, should future complaints arise, the file may be considered in that context. Letters of concern may also recommend, but not require, a licensee to complete continuing education in the area of concern to further support their professional development. If a complaint is dismissed with a letter of concern, the complainant may appeal the dismissal and request the investigation continue. The Board’s Disciplinary Process Review Committee must also review all letter of concern files and approve the dismissal. In closing, please know that the Board is committed to a fair and balanced enforcement process—one that supports both licensees and the public. We value your dedication to providing safe, high-quality care and appreciate your continued cooperation as we work together to uphold the standards of our profession. Dr. Sherif Zaafran, M.D., FASA Texas Medical Board President Beginning September 1, 2026, Texas law mandates that regulatory agencies, including the TMB, verify compliance with continuing education requirements for ALL licensed health care practitioners under their jurisdiction via a tracking system. The Board will exclusively use the CE Broker system for this purpose. Licensees renewing on or after September 1, 2026, will be required to:• Have an active, basic CE Broker account* • Ensure all completed CE coursework is reported in CE Broker*Establishing and maintaining a CE Broker Basic account is FREE.Licensees will be unable to renew if the TMB cannot verify their CE compliance through CE Broker therefore you are strongly encouraged to set up an account now! Doing so will allow ample time to get familiar with the platform, so you are fully prepared when the require-ment takes effect. In addition to being informed of this requirement in their forthcoming renewal notice, licensees will receive direct notifications from the Board regarding upcoming informational webinars. These webinars, co-hosted by TMB and CE Broker, will occur between now and September 1, 2026, and beyond. Additional information about this legislative requirement can be found here. Mandatory CE Tracking Coming September 1! or impairment. Warning letters will not be issued in cases where a licensee has previously received a warning letter, remedial plan, or agreed order for the same issue. By way of example, the Board could issue a warning letter if they get a complaint about a provider not releasing medical records according to Board rules. The warning letter would inform the licensee that they have an opportunity to fix this by a specified date and report back to the Board to avoid further action. If the licensee provides documentation that corrective action has been taken, the matter will be dismissed, the existence of the complaint will be non-public, and it will not be reported to any outside entities such as the National Practitioner Data Bank (NPDB). However, the complaint and the warning letter will become part of the licensee’s historical file with the Board. Future complaints of similar violations could lead to a non-disciplinary Remedial Plan or a disciplinary Agreed Order under the progressive discipline model. Essentially, warning letters have now taken the place of Remedial Plans for many first-time, minor administrative violations. This change reduces the administrative and financial burden on licensees and allows the Board to concentrate its efforts on more serious violations. In many cases the warning letter also quickly resolves the dispute to the complainant’s benefit. Next, letters of concern. Letters of concern are also non-disciplinary in nature but can be used to resolve certain standard of care violations. To qualify for a letter of concern, the standard of care violation must be limited to a single patient, and it cannot involve severe patient harm, patient death, or sexual boundaries, and cannot include impairment allegations. Letters of concern are issued only after a TMB physician-in- vestigator has initially reviewed the complaint, the licensee has formally responded to the allegations, and an outside expert panelist has reviewed the complaint along with the documentation provided by the licensee. If the expert finds a violation of the standard of care, a letter of concern will notify the licensee that violations were found, and the licensee will be provided with a copy of the expert panelist report. The letter of concern will indicate that the Board has chosen not to pursue further investigation or disciplinary action but will encourage licensees to closely review the care provided in the case, reflect on the experts’ findings outlined in the panelist report, and use it as opportunity to evaluate their current practices to prevent similar issues in the future. The letter of concern will also indicate that the matter has been dismissed, but a record of the complaint—including the licensee’s response—will be maintained in the Board’s confidential historical records. As with warning letters, should future complaints arise, the file may be considered in that context. Letters of concern may also recommend, but not require, a licensee to complete continuing education in the area of concern to further support their professional development. If a complaint is dismissed with a letter of concern, the complainant may appeal the dismissal and request the investigation continue. The Board’s Disciplinary Process Review Committee must also review all letter of concern files and approve the dismissal. In closing, please know that the Board is committed to a fair and balanced enforcement process—one that supports both licensees and the public. We value your dedication to providing safe, high-quality care and appreciate your continued cooperation as we work together to uphold the standards of our profession. Dr. Sherif Zaafran, M.D., FASA Texas Medical Board President

TMB Bulletin - March 2026 3 While any submission from the TMB list of acceptable documents will meet the US Citizenship or Lawful Presence requirement for application or renewal purposes, individuals who provide one of the following will be exempted from reverification at future renewal events: • US Birth certificate with a Driver’s license, • US Birth certificate with a License to Carry, • US Passport, • Certificate of Naturalization, or • Certificate of Citizenship TIPIn accordance with federal law, the Board now requires applicants for an initial license or license renewal to submit documentation establishing lawful presence in the United States from TMB’s list of acceptable documents: US Citizenship or Lawful Presence Requirement. Verifica- tion of this documentation is part of the Board’s licensure and renewal process to confirm a person’s eligibility to hold a license in Texas. Under 8 U.S.C. § 1621, an individual who is not lawfully present in the United States is not eligible to receive a public benefit. Licenses issued by the TMB consti-tute public benefits under the law therefore submission of documentation establishing lawful presence is required as a condition of licensure.Applicants must submit documentation from the list of acceptable documents before a license may be issued or renewed. Initial applications or applications for renewal will remain pending and will not be eligible for approval until the required documentation is submitted. The documentation must be unexpired on the date the initial license is issued or the date the license is renewed.US Citizenship or Lawful Presence RequirementPer SB 31 89(R), physician applicants and licensed physicians who provide obstetric care must complete a one-time, mandatory continuing education (CE) course on pregnancy-related medical emergencies. A free course is accessible through MyTMB for both applicants and current licensees. A certificate of completion will be available for download once the course is completed.The Texas Medical Board issued 5,492 licenses between September 3, 2025 and February 18, 2026. The Board is pleased to welcome these individuals to our licensee community! An acknowledgment of this accomplishment for each licensee can be found under the ‘Latest News’ section on the TMB website. Welcome New Licensees

TMB Bulletin - March 2026 4 Senate Bill 31 - Life Of The Mother ActSenate Bill 31 (also known as “The Life of the Mother Act”) requires physician licensees who provide obstetric care to complete a one-time, mandatory continuing education (CE) course on pregnancy-related medical emergencies. This course is FREE and is accessible through MyTMB for both applicants and current licensees. A certificate of completion will be available for download once the course is completed. TMB systems will automati-cally recognize completion of the course and clear this item from applicable initial or renewal licensure applications, but you are advised to retain a copy for your own records.New physician applicants who designate an obstetrics- related primary or secondary specialty on their application will see a lacking item in the License Inquiry System of Texas (LIST) indicating the requirement to complete the course. Applicants will be unable to proceed beyond the initial Pre-Licensure/Screening phase until the course has been completed.For physicians who are already licensed and who have reported an obstetrics-related primary or secondary specialty to the Board, TMB Registrations will be reaching out to you directly to provide additional notice on this requirement. Physicians with licenses expiring on February 28, 2026, are the first renewal group subject to this new requirement. Please note that licensees will be unable to proceed with renewal until TMB can verify completion of the course.To learn more about this requirement, including what qualifies as an obstetrics-related specialty, please visit the Board’s webpage on Continuing Education Requirements for Physicians. Expand the “Other Specialty Type Require- ments” section and check the FAQs at the end of the page. House Bill 2038 - The Doctor ActThe Board is now accepting applications for two new license types established by HB 2038, also known as the DOCTOR Act. This bill introduces a new licensure pathway for internationally trained physicians and establishes a license category for medical school graduates who do not secure a residency position. These new license categories are designated as Foreign Physician Provisional Licenses and Physician Graduate Licenses, respectively. Foreign Physician Provisional licenses are available to qualified foreign medical graduate physicians who completed post-graduate training outside of the United States, have been licensed to practice in another country, and have been offered employment in Texas. Physicians who successfully practice under an Initial Provisional License and Second Provisional License will be eligible to apply for a full, unrestricted Texas medical license. Physician Graduate licenses are limited licenses which can be issued to an applicant who has graduated from medical school and is not currently enrolled in a board-approved-postgraduate residency program. Physician Graduates must enter into a supervising agreement with a Texas licensed sponsoring physician prior to the issuance of the limited license. While a Physician Graduate license does not provide a pathway to full physician licensure in Texas, the license can be renewed indefinitely.Individuals considering applying for either license should carefully review the TMB website for more information about eligibility, the application, and the required docu-mentation and fees before submitting their applications. House Bill 46On September 1, 2026, House Bill 46 (HB 46) went into effect which expands the Texas Compassionate Use Program (TCUP). Among other things, the new law expands the medical conditions for which a patient’s diagnosis authorizes a physician to prescribe low-THC cannabis for compassionate use. The bill also authorizes a physician to prescribe pulmonary inhalation of an aerosol or vapor as a means of administration of low-THC cannabis under certain circumstances. Physicians who prescribe low-THC cannabis for compassionate use are encouraged to review HB 46 for more specifics regarding what the new law permits and requires.This legislation does not change TMB’s enforcement oversight when it comes to physicians who are prescribing low-THC cannabis. TMB will continue to accept complaints related to the prescribing of low-THC cannabis and eval-uate them according to the provisions established by HB 46. As with any prescribing, physicians should use their best professional judgment when prescribing treatments and carefully document their actions in the patient’s medical record. TMB rules for medial recordkeeping can be found here. House Bill 3749 - Jenifer’s LawBeginning September 1, 2026, new regulations in House Bill 3749 related to the provision of elective intravenous (IV) therapy went into effect. This legislation limits physician delegation of prescribing or ordering elective intravenous (IV) therapy to a physician assistant acting under adequate physician supervision or an advanced practice registered nurse acting under such supervision. Additionally, the bill restricts the administration of elective IV therapy to a physician or a physician assistant, an advanced practice registered nurse, or a registered nurse acting under adequate physician supervision.Important Legislative Changes

TMB Bulletin - March 2026 5 Provider Reminder!Personal cell phones are widely used in health care settings due to their convenience and speed, but they can pose significant HIPAA compliance risks, including unau-thorized access to protected health information if devices lack security measures or are lost or stolen. Taking photos with personal devices can inadvertently reveal identifi- able patient details and risk exposure through automatic cloud backups that are not HIPAA-compliant. Text messaging via standard SMS or consumer apps is insecure for sharing patient information, potentially leading to penalties. To mitigate these risks, health care workers should:• Use secure messaging platforms designed for HIPAA compliance.• Avoid storing PHI on personal devices. • Disable automatic cloud backups for clinical images. • Adhere to organizational bring-your-own-device (BYOD) policies.• Employ strong passwords and multi-factor authentication.• Participate in regular HIPAA training. Remember, while personal cell phones are powerful tools in health care, convenience must never compromise compliance. Protecting patient privacy is both a legal obligation and a professional responsibility.The easiest way to stay up to date on any state agency’s rulemaking efforts is to sign up to receive email notifications directly from the Texas Secretary of State’s Office. Doing so will allow you to be informed the moment TMB submits a proposed rule to the Texas Register for public comment. In general, this service allows individuals to choose agencies they wish to receive email notification about, and these emails contain information about proposed, adopted, withdrawn and emergency rule submissions accepted for filing, including rule number(s), type of action, and Texas Register issue date. This service also includes notification of open meetings, requests for proposals, public hearing notices, and other miscellaneous submissions. To begin receiving email notifications, contact the Texas Register or call 512-463-5561.Be First to Know About Rule ChangesCase Review Experts NeededTMB is calling for physicians in several specialties to serve as experts in reviewing standard of care cases, specifically in the following areas: Endocrinology - Diabetes & Metabolism (Adult and Pediatric), Medical Oncology, Oral Maxillofacial Surgery, Orthopedic Surgery, Pediatric Neurology, Radiation Oncology, Surgery, and Transplant Surgery. As an expert to the Board, your identity for any individual case will be confidential. The requirements for serving are:• Active license to practice in Texas or a state that is a member of the Interstate Medical Licensure Compact• Active practice • No history of negative peer review action or license restriction• Acceptable malpractice history • Initial board certification by an organization that is a member of the American Board of Medical Specialties, the Bureau of Osteopathic Specialists or the American Board of Oral and Maxillofacial Surgery Please consider helping us to improve the quality of medical practice in Texas. For more information, please email Expert Panelists.

TMB Bulletin - March 2026 6CME OUTREACH CME Outreach FlyerGACrev092624 TMB offers one-hour CME-eligible virtual presentations to inform and educate physician licensees about the regulation of the practice of medicine through physician licensure and enforcement. Available sessions are listed below:TMB can provide the CME as one hour of formal hours of study in medical ethics and/or prof- essional responsibility to be applied toward TMB registration requirements. If your hospital, medical, or specialty society is already designated as, or works in conjunction with, a provider of AMA PRA Category 1 CME, we can assist in applying for Category I accreditation for the TMB presentations. A minimum of 15 participants is required. If you have questions or would like to schedule a presentation for your group, please contact us at: outreach@tmb.state.tx.us Upholding Professional Accountability: What You Need to Know About Physician Licensure, Discipline, and Regulation in Texas A. Overview of TMB Licensure and Enforcement ProcessesB. Review of Board Rules and Common ViolationsC. Legislative UpdateD. Question and Answer Session TMB Chronic Pain PrimerA. Overview of TMB Enforcement ProcessB. Review of Statues and Rules on Pain ManagementC. The Prescription Monitoring Program and PMC InspectionsD. Question and Answer Session Schedule TMB’s FREE One-Hour CME Virtual Sessions for Your GroupIf you have questions or would like to schedule a presentation for your group, please email Outreach.

TMB Bulletin - March 2026 7 Formal ComplaintsName License Number Date Filed Allegations Otero, Fernando Javier, M.D., McAllenL4619 9/9/2025Failure to meet standard of care; unprofessional conduct; nontherapeutic prescribing; inadequate medical recordsRosen, Joel David, M.D., San AntonioH1197 9/19/2025Failure to practice medicine in an acceptable professional manner; peer review action; unpro- fessional conduct; inadequate medical records.Harris, Canaan Lavelle, M.D., HoustonG1424 9/19/2025Unprofessional conduct; violation of Board rules.Lee, Daniel Christian, D.O., McAllenM1875 11/6/2025 Failure to meet standard of care; failure to practice medicine in an acceptable professional manner; improper supervision or delegation.Mulder, Christy, MRT, Dayton, OHGMR00092172 11/6/2025 Failure to meet standard of crae; unprofessional conduct; violation of prior Board order; violation of Board rules.Patrick, Christopher, MRT, LubbockGMR02002745 2/5/2026 Failure to practice in an acceptable professional manner; unprofessional conduct; violation of prior Board order.Thompson, Jacquelyn Celecia Marie, P.A., Eight Mile, ALPA06505 2/6/2026Failure to meet standard of care; failure to practice in an acceptable professional manner; unprofessional conduct; peer review action.Williams, Daniel M., M.D., Springfield, MOP8566 2/6/2026 Failure to practice medicine in an acceptable professional manner; unprofessional conduct; inadequate medical records. Hennessy, Mark Edward, M.D., HoustonN4468 2/20/2026 Failure to meet standard of care; failure to practice medicine in an acceptable professional manner; inadequate medical records.Pearlman, Michael L., M.D., Aurora, CO P1579 3/6/2026 Failure to practice medicine in an acceptable professional manner; peer review action; inadequate medical records.

TMB Bulletin - March 2026 8Texas Medical Board Disciplinary ActionsShelton, Kevin James, M.D. N1893 Revocation by Operation of Law 9/30/2025 Patel, Vishal Manojkumar No License Agreed Cease and Desist 10/7/2025 Nahas, Osama B., M.D. J9233 Suspension by Operation of Law 10/9/2025 Haygood, Kenneth D., M.D. K2341 Revocation by Operation of Law 10/9/2025 Patel, Yogesh, M.D. S6707 Revocation by Operation of Law 10/10/2025 Cole, James, M.D. Q2532 Agreed Order 10/17/2025 Martinez, Jesse Galvez, D.O. U8388 Agreed Order 10/17/2025 Tipton, Matthew Thomas, D.O. T7834 Agreed Order 10/17/2025 Walters, Joseph John, M.D. V1643 Agreed Order 10/17/2025 Breazeale, Jennifer Honeycutt, M.D. L5997 Agreed Order 10/17/2025 Davis, Andrew Ryan, M.D. R8880 Agreed Order 10/17/2025 Hawkins, William Noel, M.D. J4850 Agreed Order 10/17/2025 Kale, Santosh Sudhir, M.D. Q2146 Agreed Order 10/17/2025 Malouf, Nicole Elaine, M.D. Q1665 Agreed Order 10/17/2025 Mild, Charles Franklin, M.D. H6895 Agreed Order 10/17/2025 Mushtaq, Muzammil, M.D. N9918 Agreed Order 10/17/2025 Cradeur, Ryan David, M.D. L9664 Agreed Order 10/17/2025 Sideris, Stylianos, M.D. M2235 Agreed Order 10/17/2025 Cobb, John Michael, M.D. L6013 Agreed Order of Voluntary Surrender 10/17/2025 McBath, J. Mark, M.D. G8265 Agreed Order of Voluntary Surrender 10/17/2025 Patel, Aman, D.O. Q8994 Agreed Order of Voluntary Surrender 10/17/2025 Tennant, Jerald Lee, M.D. D1830 Agreed Order of Voluntary Surrender 10/17/2025 Starke, Nathan Robert, M.D. R3597 Agreed Order on Formal Filing 10/17/2025 Diaz, Sheridan, M.D. J3456 Default Order 10/17/2025 Sampath, Karthik, M.D. Q1734 Default Order 10/17/2025 Dobrescu, Cosmin, M.D. T2356 Final Order 10/17/2025 Bowden, Mary Talley, M.D. K9770 Final Order 10/17/2025 Itata, Christina, M.D. R8382 Temporary Restriction 10/24/2025 The following disciplinary actions have been taken since the previous bulletin was issued. To read previous bulletins and news releases, visit the TMB Newsroom. To view disciplinary orders and Board action history, visit the TMB website, click on “Look Up a License” or “Search Board Action”, accept the usage terms, then type in an individual’s name. Click on the name shown in the search results to view an individual’s full profile. Within the profile is a button that says “Current Board Action.”Disciplinary Actions

TMB Bulletin - March 2026 9 Gonzales, Ashley No License Cease and Desist Order 11/3/2025 Al Tameemi, Aseel Majid No License Cease and Desist Order 11/4/2025 Jimenez, Jason Phillip, SA SA00556 Temporary Suspension 11/13/2025 Walker, Marvin M., Jr., SA SA00690 Temporary Suspension 11/13/2025 Reynolds, Shina No License Cease and Desist Order 11/17/2025 Orozco, Crystal No License Agreed Cease and Desist 11/17/2025 Malave, Ernesto, M.D. J7063 Revocation by Operation of Law 11/19/2025 Perez, Gabriel Moses, M.D. M8247 Temporary Suspension 11/25/2025 Gaines, Miranda No License Cease and Desist Order 12/4/2025 De Jesus, Alex, M.D. H5866 Agreed Order on Formal Filing 12/12/2025 Letsou, George V., M.D. J8298 Mediated Agreed Order 12/12/2025 Rosen, Joel David, M.D. H1197 Agreed Order on Formal Filing 12/12/2025 Emer, Jason Joel, M.D. T4355 Waiver Order 12/12/2025 Paris, Christopher, M.D. S4542 Waiver Order 12/12/2025 Yatsu, John Shigeru, M.D. G9020 Agreed Order 12/12/2025 Snook, Murray Alan, M.D. H8419 Agreed Order 12/12/2025 Lopez, Jesus Antonio, M.D. L1649 Agreed Order 12/12/2025 Vela, Mario Jack, M.D. T0376 Agreed Order 12/12/2025 Chamsuddin, Abbas Afif, M.D S3500 Agreed Order 12/12/2025 August, Brian James, M.D. H9762 Agreed Order of Voluntary Surrender 12/12/2025 Chapa, Maria Dolores, M.D. M5096 Final Order 12/12/2025 Olson, Elis Yngue, M.D. U8490 Suspension by Operation of Law 12/19/2025 Hamlin, Denise Renee, M.D. M6172 Temporary Suspension 12/22/2025 Molina, Oscar Aaron, M.D. T1471 Temporary Suspension 12/22/2025 Jaffer, Azul Shiraz, M.D. N2128 Temporary Suspension 12/30/2025 Hanan, Ali No License Cease and Desist Order 1/8/2026Gill, Kory Lee, D.O. M8674 Revocation by Operation of Law 1/20/2026 Ames, Sarah J., M.D. BP10086141 Revocation by Operation of Law 1/29/2026 Garcia, Melissa No License Agreed Cease and Desist 1/29/2026 Thierry, Tawanna No License Cease and Desist Order 3/10/2026 Disciplinary Actions - continued

TMB Bulletin - March 2026 10 Disciplinary Actions - continuedTexas Physician Assistant Board Disciplinary ActionsFlores, Roland, P.A. PA00861 Agreed Order 11/7/2025 Suarez Jaramillo, Javier, P.A. PA10788 Default Order 11/7/2025 Mallison, Dorothy Lea, P.A. PA01949 Final Order 11/7/2025 Seiter, Stephen, P.A. PA13946 Temporary Suspension 12/10/2025 Texas State Board of Acupuncture Examiners Disciplinary ActionsThere were no Acupuncture Board disciplinary actions taken since the previous bulletin was issued.Texas Board of Respiratory Care Disciplinary ActionsGoble, Scott Lee, RCP RCP00064349 Revocation by Operation of Law 10/28/2025Patel, Chetan Suresh, RCP RCP00018376 Agreed Order 2/5/2026 Ford, Shaka M., RCP RCP00066885 Consent Order 2/5/2026 Harmon, Frank Nelson, RCP RCP00068989 Consent Order 2/5/2026 Kaufman, Ronald Wayne, RCP RCP00054411 Default Order 2/5/2026 Texas Board of Medical Radiologic Technology Disciplinary ActionsRehman, Nosheen, MRT GMR02003174 Temporary Suspension 9/29/2025 Garza, Nathaniel Louis, NCR NCR02004242 Temporary Suspension 9/29/2025 Bustos, Christian L., NCR NCR02003417 Temporary Suspension 11/7/2025 Castro, Christopher Lee No License Agreed Cease and Desist Order 1/13/2026 Mulder, Christy, MRT GMR00092172 Default Order 2/6/2026 Lewis, Rebecca Maren Udell, MRT GMR02006852 Consent Order 2/6/2026Aguilar-Gutierrez, Natalia, NCR NCR02006198 Temporary Suspension 2/11/2026 Brown, Laurie Ann, MRT GMR00028175 Temporary Suspension 2/11/2026

TMB Bulletin - March 2026 11 Texas Medical Board MembersSherif Zaafran, M.D., President Sharon J. Barnes Devinder S. Bhatia, M.D. Michael E. Cokinos, Secretary-Treasurer Garry D. Crain George L. De Loach, D.O., P.A. James “J.D.” S. Distefano, D.O. Kandace B. Farmer, D.O., Vice President Mary “Kelly” Green, M.D. Tomeka M. Herod Zachary S. “Zach” Jones, M.D. Robert D. Martinez, M.D. LuAnn Morgan Jayaram B. Naidu, M.D. Manuel “Manny” Quiñones, Jr., M.D. Luisa del Rosal Jason K. Tibbels, M.D. Linda Troncoso David G. Vanderweide, M.D. Texas Physician Assistant Board MembersKarrie Lynn Crosby, MPAS, PA-C, Presiding OfficerRao K. Ali, M.D.Clay P. Bulls, MPAS, PA-C, Secretary Lyle Grimes Victor S. Ho, M.D. Sandra Longoria, D.M.Sc., PA-C Cameron J. McElhany Chad Moody, PA-C Andrew W. Sauer, D.M.Sc., PA-C Laura L. Shipley Richard M. Todd, PA-C Texas State Board of Acupuncture Examiners MembersDonna S. Guthery, L.Ac., Presiding OfficerElisabeth Lee “Ellee” Carlson, L..Ac.Sheri J. Davidson, L.Ac., Secretary/TreasurerMaria M. GarciaSamantha A. Gonzalez, J.D.Ahmed Sheikh, D.O. Deborah J. “Debbie” WeemsGrant E. Weidler, L.Ac., Assistant Presiding OfficerRey Ximenes, M.D.Texas Board of Respiratory Care MembersSam G. Marshall, Ph.D., RCP, Presiding OfficerSamuel L. Brown, Jr.Tim R. Chappell, M.D.Matthew Goldwater, RCPLatana T. Jackson, RCP, TreasurerKandace D. Pool, SecretaryHammad Nasir Qureshi, M.D.Nathan A. Rodrigues, RCPSonia K. SandersonTexas Board of Medical Radiologic Technology MembersFaraz A. Khan, M.D., Presiding OfficerNicholas M. Beckmann, M.D., Assistant Presiding OfficerJennifer C. Brandt, MRT, Secretary/TreasurerRegan R. LandrethMelanie “Shannon” Lutz, MRTScott A. Morren, MRTShaila D. ParkerLucia “Lucy” SisniegaKen Stout, MRTMedical Physicist Licensure Advisory Committee MembersCharles W. Beasley, MP, Ph.D., Chair Dianna D. Cody, MP, Ph.D.Douglas A. Johnson, MPNikolaos Papanikolaou, MP, Ph.D.Alvin L. Schlichtemeier, M.D.Kiran ShahGregory P. Swanson, M.D. Perfusionist Licensure Advisory Committee MembersKirti Priyavadan Patel, Chair Patricia BlackwellDavid R. Boyne, LP, CCP, FPPAnn Guercio, LP, CCP, MBAGary W. Hay, LPR. Brent New, M.D.------------------------------------------------------Texas Medical Board StaffStephen Brint Carlton, J.D., Executive DirectorScott Freshour, J.D., General CounselTaurie Sloan, Governmental Affairs & Comm., DirectorSpencer Miller-Payne, Governmental Affairs & Comm., Comm. OfficerSandra Ramirez Governmental Affairs & Comm., Public Relations SpecialistKaren Hardwick, Governmental Affairs & Comm., Sr. Graphic DesignerAdditional information on Boards, including meeting dates, agendas, minutes, and board member biographies, is available in the Boards and Committees section of the TMB’s website. TMB MISSION STATEMENTOur mission is to protect and enhance the public’s health, safety, and welfare by establishing and maintaining standards of excellence used in regulating the practice of medicine and ensuring quality health care for the citizens of Texas through licensure, discipline, and education.Find us at