Texas Requirements at a Glance
Practice Authority
Texas is a Restricted Practice state (per AANP classification). NPs must operate under a written Prescriptive Authority Agreement with a delegating physician for the entire duration of their practice. There is no unsupervised practice category under current law.
Path to Independence
No, statutory transition-to-independent practice pathway exists for NPs in Texas. A PAA is required on an ongoing, career-long basis.
Hours Required for Independence
No independence pathway currently exists in Texas.
Physician-to-APC Provider Ratio Cap
7 FTEs (NP + PA combined). This limit does not apply to physicians working in hospitals, facility-based settings, or medically underserved/HPSA areas.
Chart Review Requirements
Determined jointly by the physician and NP. There’s no fixed statutory percentage.
Meeting Requirements
Monthly at first (1-3 years, depending on APC’s prior experience), then quarterly with monthly check-ins between quarters-format (in-person, phone, or video) is up to the parties for agreements dated 9/1/2019 or later.
Geographic Requirements
None, remote collaboration is permitted
Prescriptive/Delegation Authority Agreement
Governed by Texas Occupations Code §157.0512, the agreement must be written, signed, and dated by both the physician and the NP. It also must be renewed at least annually.
Schedule II Prescribing
Schedule II prescribing authority is limited for NPs in Texas and is not generally available in standard outpatient settings.
Physician Collaboration Eligibility Requirements
A collaborating physician in Texas must:
- Hold a full, active, unrestricted Texas medical license and not be under a current TMB order
- Not practice under a limited license type
- Register with the TMB as a physician who delegates prescriptive authority and complete required filings
- Ensure the NP’s scope of practice and specialty align with the physician’s oversight under the PAA
DEA Requirements / Application Process
The NP must obtain a prescriptive authority approval from the Texas Board of Nursing. Then they have to register with the DEA as a Mid-Level Practitioner.
Disclaimer: This page for general informational purposes only and is not legal or medical advice. Texas requirements are set by state law and board rule and may change; consult your own counsel before relying on this information. CollabDocs facilitates physician-APC introductions and does not practice medicine or guarantee outcomes except as stated in a signed services agreement.
Reviewed by the CollabDocs Compliance Team | Last reviewed August 5,2026
Texas Requirements at a Glance
Practice Authority
Texas is a Restricted Practice state (per AANP classification). NPs must operate under a written Prescriptive Authority Agreement with a delegating physician for the entire duration of their practice. There is no unsupervised practice category under current law.
Path to Independence
No, statutory transition-to-independent practice pathway exists for NPs in Texas. A PAA is required on an ongoing, career-long basis.
Hours Required for Independence
No independence pathway currently exists in Texas.
Physician-to-APC Provider Ratio Cap
7 FTEs (NP + PA combined). This limit does not apply to physicians working in hospitals, facility-based settings, or medically underserved/HPSA areas.
Chart Review Requirements
Determined jointly by the physician and NP. There’s no fixed statutory percentage.
Meeting Requirements
Monthly at first (1-3 years, depending on APC’s prior experience), then quarterly with monthly check-ins between quarters-format (in-person, phone, or video) is up to the parties for agreements dated 9/1/2019 or later.
Geographic Requirements
None, remote collaboration is permitted
Prescriptive/Delegation Authority Agreement
Governed by Texas Occupations Code §157.0512, the agreement must be written, signed, and dated by both the physician and the NP. It also must be renewed at least annually.
Schedule II Prescribing
Schedule II prescribing authority is limited for NPs in Texas and is not generally available in standard outpatient settings.
Physician Collaboration Eligibility Requirements
A collaborating physician in Texas must:
- Hold a full, active, unrestricted Texas medical license and not be under a current TMB order
- Not practice under a limited license type
- Register with the TMB as a physician who delegates prescriptive authority and complete required filings
- Ensure the NP’s scope of practice and specialty align with the physician’s oversight under the PAA
DEA Requirements / Application Process
The NP must obtain a prescriptive authority approval from the Texas Board of Nursing. Then they have to register with the DEA as a Mid-Level Practitioner.
Disclaimer: This page for general informational purposes only and is not legal or medical advice. Texas requirements are set by state law and board rule and may change; consult your own counsel before relying on this information. CollabDocs facilitates physician-APC introductions and does not practice medicine or guarantee outcomes except as stated in a signed services agreement.
Reviewed by the CollabDocs Compliance Team | Last reviewed August 5,2026
