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Medical Board Bulletin Fall 2007 Medical Board Bulletin Fall 07 (631K pdf) Texas Medical Board Bulletin The newsletter of the Texas Medical Board Fall 2007 Volume 5, No. 1 Governor Appoints Two to Board Governor Rick Perry has appointed Melinda� McMichael, M.D., to the board. Dr. McMichael is an Austin physician. She graduated from Kansas State University and received her medical degree from the University of Kansas, where she was elected to Alpha Omega Alpha. After completing a residency in internal medicine at the University of Texas Heath Science Center at San Antonio, she served a year as chief resident and clinical instructor in internal medicine. Since that time, she has practiced primary care and internal medicine at the University of Texas at Austin University Health Services, where for several years she was the medical director and has continued to contribute in various other clinical and administrative capacities. Dr. McMichael is board certified in internal medicine, and is a member of the American College of Physicians, Travis County Medical Society, Texas Medical Association, American Medical Association, and the American College Health Association. She previously served as a public member of the Board of Directors of the State Bar of Texas, and volunteers regularly at the Volunteer Healthcare Clinic in Austin. Dr. McMichael replaces John W. Pate, M.D., of El Paso, who had served on the board since 2002. Governor Perry also appointed public member Timothy Webb, J.D., to the board. A native of Nashville, Tennessee, Mr. Webb received his law degree from the Thurgood Marshall School of Law at Texas Southern University in 1995. Prior to law school he enjoyed a successful career in pharmaceutical sales and served as a Captain in the United States Air Force. Mr. Webb worked for the law firm of Akin, Gump, Strauss, Hauer and Feld in Houston and subsequently formed the law offices of Webb & Associates. His practice primarily concentrates on bankruptcy and civil litigation. He is a member of the State Bar of Texas, College of the State Bar of Texas, American Inns of Court, and the Screen Actor�s Guild of America. He is admitted to practice in the United States District Court for the Northern, Southern, Eastern, and Western Districts of Texas and serves on the Cypress-Fairbanks Independent School District Legislative Study Committee. He served on the State Bar Mentor, Professionalism, and the Pattern Jury Charge Committees. He also served on the Development Ordinance Advisory Committee for the City of Carrollton, Texas, and was appointed to the Texas Physician Assistant Board in 2000 where he served as Chairman from 2004 � 2007, until his appointment to the Medical Board. Mr. Webb replaced Mr. Eddie Miles Jr., who had served on the board since 1997. Governor Perry also reappointed Roberta Kalafut, D.O., as President of the board, for a term ending April 13, 2013. Keith Miller, M.D., of Center, who had served since 2003, has also left the board. The board appreciates the service Dr. Pate, Mr. Miles and Dr. Miller have given to the people of Texas. Know the Law that Regulates Your Practice The Texas Medical Board has two core functions: to license qualified physicians, physician assistants and acupuncturists who wish to practice in Texas; and to take disciplinary action against licensees found to be in violation of the Medical Practice Act (which is part of the Texas Occupations Code) or the appropriate practice act for PAs or acupuncturists. The Texas Legislature sets the standard by which TMB carries out those functions. In the 2003 and 2005 sessions, the Legislature made changes that dramatically affected the process, enabling TMB to be more effective, efficient, fairer to licensees against whom complaints are filed, and better protecting the public. Legislative changes made in 2003 through Senate Bill 104 as part of the tort reform package gave TMB new powers and resources to more effectively prosecute standard of case cases. When TMB underwent Sunset review during the 2005 Legislative session, rules adopted to implement SB 104 were codified into law as SB 419. Among the changes were statutory time limits to complete investigations and litigate cases, ending an era during which cases dragged on for years, to the dissatisfaction of all concerned. Most cases now reach resolution within a year. To help understand how TMB reaches a disciplinary action, let�s briefly the review the process. Complaints When TMB receives a complaint (just under 7,000 in Fiscal Year 2007), board staff first determines if the complaint is against a licensee we regulate, i.e. a physician, physician assistant or acupuncturist. Complaints against other practitioners are forwarded to the appropriate regulatory agency. Of those roughly 7,000 complaints received, about 4,400 are dismissed for one of the following three reasons: they are not against one of our licensees (nonjurisdictional); we determine that the complaint, if accurate, would not violate the MPA (jurisdictional- not filed); or the complaint may be dismissed during an initial 30-day period during which we contact both the complainant and the licensee�the former to make sure we have all of the necessary information; the latter to provide an opportunity to refute the charges with documentary evidence. If the licensee provides sufficient evidence during this 30-day period that there was no violation, there is no investigation. Statutory Authority Sections 164.051 and 164.052 of the Occupations Code spell out the violations for which TMB may deny licensure or discipline a licensee. Here they are paraphrased; the full statutory language is at http://tlo2.tlc.state.tx.us/statutes/oc.toc.htm: � Conviction or deferred adjudication, community supervision, or deferred disposition for a felony or a misdemeanor involving moral turpitude. � Commits or attempts to commit a violation of the Board Rules (complete Board Rules are at http://www.tmb.state.tx.us/rules/rules/bdrules.php ). � Is unable to practice medicine with reasonable skill and safety because of illness, drunkenness; excessive use of drugs, narcotics, or other substances, or a mental or physical condition, or is found by a court to be of unsound mind, or uses alcohol or drugs in an intemperate manner that could endanger a patient�s life. � Fails to practice medicine in an acceptable professional manner consistent with public health and welfare. � Is removed, suspended or subject to discipline by peers. � Is subject to repeated or recurring meritorious health care liability claims. �� Is disciplined by another state board. � Submits false or misleading documents in application for licensure. � Commits unprofessional conduct likely to deceive or defraud the public. � Uses an advertising statement that is false, misleading or deceptive, or advertises professional superiority in a manner not readily subject to verification. This includes claiming certification by an ABMS board when such is not the case, or claiming certification by a board not recognized by the TMB. � Purchases, barters or uses a medical degree, license or diploma, or alters with fraudulent intent, a license, certificate, diploma or transcript, or uses such a document, or subverts the examination process for licensure. � Impersonates a physician. � Employs or associates in practice with a person whose license to practice has been suspended, canceled or revoked. � Performs or procures a criminal abortion; performs an abortion on a viable unborn child during the third trimester of pregnancy (with certain exceptions); performs an abortion on an unemancipated minor without proper consent. � Aids and abets the unlicensed practice of medicine. � Violates any state or federal law connected to the practice of medicine (a complaint, indictment or conviction is not necessary; proof of commission of the act is sufficient). � Fails to keep records of purchase and disposal of controlled substances. � Writes false or fictitious prescriptions. � Prescribes nontherapeutically. � Fails to adequately supervise those to whom the physician delegates or delegates to someone known to be unqualified. Investigations The investigative process varies depending upon the allegations. In cases in which the allegations are not related to the standard of care, relevant information is collected by an investigator. Next, a quality assurance committee reviews the case for legal action if there appears to be a violation, or it�s recommended for dismissal if not. If, on the other hand, the allegations concern standard of care violations, the investigator sends the relevant medical records to expert panelists. These experts are all certified by an ABMS board, are not located in the same vicinity as the investigated doctor, and have been selected by a series of peers. The expert, certified typically in the same specialty in which the investigated doctor was trained, evaluates all the relevant medical information and submits a report to the investigator. Whether or not the expert determines there is a violation of the standard of care, the case goes to a second expert. If that expert agrees with the first that the case shows a violation, the case is referred by the investigator to the QA committee. If both agree there is no violation, the investigator refers it to a board committee for dismissal. If the first two experts do not agree, the records go to a third expert, and the determination of two out of three panelists prevails. Either the case is referred by QA evaluation for litigation or it is referred to the board committee to consider for dismissal, after which the agency terminates the complaint and the parties are notified. Litigation If QA directs the case to go to litigation, the case is assigned to a staff attorney. Next, a board panel made up of a public and a physician member hears the case at an informal hearing. Present at the hearing is the physician being investigated, frequently with an attorney, and a staff attorney representing TMB. At the Informal Settlement Conference, the board panel hears from both sides, deliberates, and determines whether there has been a violation of the MPA. If so, it recommends a disciplinary order that is offered to the physician. If not, the panel recommends to the board that the case be dismissed. If the physician does not want to accept the proposed disciplinary order, even after negotiation, the case is referred to the State Office of Administrative Hearings for a formal hearing with the elements of a civil court trial, with sworn witnesses, rules of evidence, depositions and a formal record by a court reporter. The administrative law judge who hears the case deliberates and eventually presents a Proposal for Decision to the board with a recommendation for disposition of the case. However, the final decision ultimately rests with the board, which may accept the ALJ�s proposal, modify it, or take an entirely different action. Minimal Violations TMB has recently begun issuing administrative orders for minimal statutory violations. These are complaints based on violations that do not involve the standard of care and are for rules violations such as failing to release medical records in a timely fashion; failing to get or properly document required continuing medical education; failing to timely sign a death certificate; failing to post information in the office for filing a complaint with TMB; or advertising one is board certified when he or she is not, or the board cited is not one TMB recognizes. If the licensee agrees to sign an order without appearing for an informal settlement conference, the action is resolved with an administrative penalty. These actions, although still public, will not be listed in news releases and the newsletter by name (beginning with this issue), only by the numbers of such violations. There has been recent criticism that taking action on these minor rules infractions is a waste of the board�s time and unnecessarily singles out otherwise good physicians. If board members believe there is a violation of the MPA, the board is legally compelled to take action. If the respondent wishes to contest the case and refuses to sign an order, a Formal Complaint is filed with the State Office of Administrative Hearings for a contested case hearing. This Complaint will list the violations the Board reasonably believes it can prove in a court of law and is published on the agency web site. At the conclusion of the formal SOAH hearing, the judge presents a recommendation to the board to resolve the matter. However, as noted above, the final decision rests with the board. These final board actions are public and appear on the licensees� profile on the agency web site. Board decisions reflect an effort to strike a balance between public protection and fairness to respondents. The board and agency staff constantly strive to maintain a process that is fair and efficient to licensees while assuring the citizens of Texas that they are entitled to proper and competent treatment from their healthcare professionals. New Processes in Place to Expedite Issuance of New License s Screening and Analysis of Applications � a Two-Part Process TMB has developed a process to screen applications prior to assignment to a licensure analyst. This screening process is only to determine if, based on the information provided in the application, all expected items were submitted. The content of the items is not reviewed for acceptability until the application is assigned to a licensure analyst. A licensure analyst may determine that additional items or additional information related to a licensure requirement, not requested during the screening process, must be submitted. Applicants will be contacted by e-mail as soon as the application is screened. They will be informed which, if any, expected items are lacking from the application. Please note, until all of the items requested during the screening process are received, applications will not be assigned to a licensure analyst for content analysis.� For a speedier overall licensure process, applicants should know what supplemental documentation is required and submit it at the same time as submitting the application online. Visit the TMB web site for a supplemental documentation checklist, eligibility requirements, and other important information (http://www.tmb.state.tx.us/professionals/physicians/applicants/physicianapplicants.php). Priority Handling and Expedited Handling for Certain Applicants Physician Applicants Treating Medicare and Medicaid Patients Applicants who agree to treat Medicare and Medicaid patients for the five years following issuance of their medical licenses will be assigned a priority status for application processing. Applicants must sign an agreement that they will accept any Medicare and Medicaid patient. The agreement must be submitted to the board.� It is on the web site, under Additional Licensure Forms and titled Form X. Visit the TMB web site for the form (http://www.tmb.state.tx.us/professionals/physicians/applicants/licforms.php). Agreements by physicians will be noted on the Board�s web site and may also be reflected in the physicians� Public Physician Profile on the web site. Failure to comply with this agreement shall constitute unprofessional or dishonorable conduct that is likely to deceive or defraud the public or injure the public and may result in disciplinary action. Applicants Who Will Practice in Certain Areas The board is required to expedite handling of applicants who will practice in Medically Underserved Areas (MUAs), Health Professional Shortage Areas (HPSAs), and rural areas. Applicants must submit additional licensure Form X, and verification from the Department of State Health Services and/or the Office of Rural and Community Affairs. Visit the TMB web site for the form (http://www.tmb.state.tx.us/professionals/physicians/applicants/licforms.php). Priority Status and Expedited Handling Priority status and expedited handling mean that an applicant�s file will be placed ahead of applicants without priority status for screening, assignment to a licensure analyst after successful completion of screening, and for processing by a licensure analyst.� The order of priority of applications assigned priority status or expedited handling depends on the agreement and/or factors involved. Applicants who will treat Medicare and Medicaid patients in addition to practicing in an MUA, HPSA, and/or rural area will receive the highest priority.� Exam Attempts and Eligibility Legislation passed last session modified the licensing examination attempt limits. An applicant for an unrestricted physician license must pass each part of an examination within three attempts; however, certain exceptions were added (Texas Occ. Code �155.056. Examination Attempt Limits) Exceptions are only allowed for two groups of applicants, those who: � held, or had a pending application for, a Physician in Training permit on 9/1/05, or � have been licensed in good standing in another state for at least five years, and who have no restrictions, orders, or probation on any other state medical licenses The exceptions are: 1. a fourth attempt allowed on one part only, or 2. a fifth or sixth attempt allowed on one part only, if: ������ the applicant becomes specialty board certified by an A.B.M.S. or A.O.A. member board, and ������ completes, in Texas, an additional two years of postgraduate medical training beyond what is required Fingerprinting As of October 1, 2007, physician licensure applicants, and many current applicants, are required to submit their fingerprints for state and national criminal history background checks. Fingerprinting services are provided by Integrated Biometric Technology for a fee of $44.20, payable directly to IBT. Results of the fingerprinting will be sent directly to TMB both from the Texas Department of Public Safety Criminal Records and the Federal Bureau of Investigation. Applicants in Texas will make an appointment for a live scan (a process that captures fingerprints without the use of ink), at locations throughout the state of Texas. Applicants outside� Texas will be fingerprinted in ink on a card, (only cards provided by the Texas Medical Board are acceptable), at a local law enforcement agency, and will submit the card directly to IBT for digital scanning. Visit the TMB web site for more information (http://www.tmb.state.tx.us/professionals/physicians/applicants/fingerprinting.php). Licensure Application Fee The application fee for physician licensure increased by $80 on September 16. The new fee is $885. The board is required to generate revenue to cover additional costs, including the addition of six new licensure staff. The additional licensure staff will assist in reducing the backlog of applications and in decreasing the amount of time it takes to process an application.� Most fees have increased in recent years, but the physician licensure application fee has not increased since at least 1994, other than a $5 increase for online applications. Governor Appoints Physician Assistant Board Members Governor Rick Perry has appointed four people to the Texas Physician Assistant Board. Teralea Davis Jones, P.A.-C., of Beeville, is the rural health clinic coordinator of Beeville Family Practice. She is a member of the Texas and American Academies of Physician Assistants, the Fellowship of Christian Physician Assistants, the Christian Medical and Dental Association and Alpha Eta, the physician assistant honor society. She is a recipient of the Physician Assistant of the Year award from the Texas Academy of Physicia n Assistants. Ms. Jones received a bachelor�s degree from the University of Texas Medical Branch at Galveston. She replaced Dwight Deter, P.A.-C., of El Paso, on the board. Felix Koo, M.D., of McAllen, is the clinical coordinator of the Physician Assistant Studies Program at the University of Texas-Pan American. He is a volunteer medical director of Hope Medical Clinic and a volunteer pediatrician for the Alton Church of Christ Health Projects. Dr. Koo also serves as a board member of the Children�s Defense Fund-Rio Grande Valley. He received a doctorate degree from the University of Texas Medical Branch at Galveston and doctor of medicine degree from the University of Texas Health Science Center at San Antonio. He replaced Stephen D. Benold, M.D., of Georgetown, on the board. Abelino �Abel� Reyna, of Waco, is a partner of Reyna and Reed L.L.P. He is president of the Association of Good Government and a board member of the Freeman Center. Mr. Reyna is a member of the City of Waco Planning Commission, State Bar of Texas and McLennan County Bar Association. Additionally, he is a member of the National Association of Criminal Defense Lawyers and the Texas Criminal Defense Lawyers Association. Mr. Reyna received a bachelor�s and law degree from Baylor University. He replaced Timothy Webb, who is now a member of the Texas Medical Board. The board thanks Mr. Deter, Dr. Benold and Mr. Webb for their service. Mr. Deter has the distinction of holding the first P.A. license issued, PA00001. Rule Changes The board has adopted the following rules and rule changes since the last issue of the Medical Board Bulletin. The rules can be found on the TMB web site at http://www.tmb.state.tx.us/rules/rules/bdrules_toc.php . Chapter 161, General Provisions, amending to �161.3, Organization and Structure, regarding standards of conduct for Board members, including prohibiting expert testimony by board members in cases in which a licensee is a party and in which the expert testimony relates to the standard of care or medical malpractice. Chapter 163, Licensure, proposed amendments to �163.1, Definitions; �163.2, Full Texas Medical License, regarding recognition of Texas Higher Education Coordinating Board authority to determine a school to be Fraudulent or Substandard and to clarify that any foreign medical school must meet the Boards substantial equivalence requirements; �163.4, Procedural Rules for Licensure Applicants, regarding processing of applications determined to be ineligible to allow appeal to Licensure Committee on one issue, without spending staff time to process the rest of the application; �163.6, Examinations Accepted for Licensure, to delete subparagraph (e) (10-Year Rule) and make it a new �163.7; �163.6, Examinations Accepted for Licensure, adding a new �163.7(e)(4) eliminating requirements to retake the jurisprudence examination; adding a new �163.7, Ten Year Rule, to include the provision previously included in �163.6(e); adding a new �163.8, Authorization to Take Professional Licensing Examination, to set forth in rule the provisions for applicants to take an examination, invoking the exemption from Chapter 61, Subchapter G, Texas Education Code, as provided in �161.303, Texas Education Code; and adding a new �163.9, Only One License, to provide that any outstanding license or permit is canceled upon issuance of another license. Chapter 164, Physician Advertising, proposed amendments to �164.4, Board Certification, to set forth requirements for advertising a medical specialty. Chapter 166, Physician Registration, proposed amendments to �166.5, Relicensure Following Cancellation for Nonpayment of Registration Fee, to refer to provisions of Chapter �196 for cancellation upon non-payment, relinquishment, or surrender. Chapter 172, Temporary and Limited Licenses, proposed amendments to �172.5, Visiting Physician Temporary Permit, to remove the requirement of a license in another state. Chapter 173, Physician Profiles, to include amendments to �173.3, Physician Initiated Updates, requiring updates regarding address changes, conviction, or incarceration within 30 days. Chapter 176, Health Care Liability Lawsuits and Settlements, amending �176.1 Definitions; �176.2 Reporting Responsibilities; �176.4 Timeframes and Attachments; �176.6 Penalty; �176.8 Board Review of Health Care Liability Lawsuits and Settlements; and �176.9 Reporting Form. Provides statutory references to Chapter 74 of the Texas Civil Practices and Remedies Code and Chapters 82 and 1901 of the Insurance Code, and updates name of Texas Medical Board. Chapter 181, Contact Lens Prescriptions, amending �181.2 Definitions; �181.3 Release of Contact Lens Prescription; and �181.6 Physician�s Prescriptions: Delegation, relating to establishing that the verification of a contact lens prescription may substitute for an original signature to create a valid contact lens prescription. Chapter 182, Use of Experts, proposed amendments to �182.5, Expert Panel, to add the American Board of Oral and Maxillofacial Surgery to subparagraph (2)(B) and to provide for removal from the Expert Panel if a panelist repeatedly provides unreliable reports. Chapter 184, Surgical Assistants, proposed amendments to �184.4, Qualifications for Licensure, to delete outdated provisions; amendments to �184.8, License Renewal, to provide for cancellation upon expiration of a permit; and a new �184.26, Voluntary Relinquishment or Surrender of a License, to refer to Chapter 196, regarding Relinquishment or Surrender of a license. Chapter 187, Procedural Rules, to add a new Subchapter G., Suspension by Operation of Law, to provide a procedure for mandatory suspension or revocation of license upon incarceration under �164.058 of the Medical Practice Act. Chapter 190. Disciplinary Guidelines, to include amendments to �190.8, Violation Guidelines, providing on-call back-up by person who is not licensed or does not have training or experience, and prohibition against physician subject to an investigation from contacting a complainant or witness for purpose of intimidation. Chapter 191, District Review Committees, amending �191.4 Activities and Scope of Authority. Deletes provision that allows District Review Committee (DRC) members to evaluate medical competency of physicians under investigation. Establishes DRC members are allowed to participate in mediation and requires DRC members to have the same qualifications as expert panel members. Chapter 194, Non-certified Radiologic Technicians, amending �194.2 Definitions; �194.3 Registration; �194.4 Annual Renewal; �194.5 Non-Certified Technician�s Scope of Practice; �194.6 Suspension, Revocation or Nonrenewal of Registration. Provides updates regarding the names of the Texas medical Board and Department of State Health Services, and clarifies that NCT registrations that are not renewed within 90 days will be considered expired. Chapter 196, Voluntary Surrender of Medical License, to change the title of the chapter and include amendments to �196.1 and �196.4, to change the term for voluntary surrender that is not involved in disciplinary action or impairment to Relinquishment. �Chapter 197, Emergency Medical Service, amending �197.1 Purpose; �197.2 Definitions; �197.3 Off-line Medical Director; and �197.4 On-Line Medical Director. Provides updates regarding the names of the Texas Medical Board and Department of State Health Services, requires that EMS medical directors report to the board the names and license numbers of all emergency medical personnel who work under a medical director�s supervision, and removes the requirement that on-line physicians be familiar with the capabilities of the pre-hospital providers, as well as local EMS operational policies and regional critical care referral protocols. Chapter 198, Unlicensed Practice, proposed amendments to ��198.1 - 198.7, to establish a procedure for cease and desist orders. Formal Complaints The following Formal Complaints have been filed with the State Office of Administrative Hearings regarding the licensees listed below. The cases were unresolved at the time of publication. Daniel J. Aldrich, M.D....... K3667 ..........6/12/07......Unprofessional conduct; failure to practice consistent with public health and welfare; nontherapeutic prescribing. Christine L. Canterbury, M.D.K4010 .....10/22/04.....Failure to practice consistent with public health and welfare; failure to meet the standard of care; inadequate medical records. Roy L. Carr, M.D. .............. H4216 ..........8/31/07......Unprofessional conduct; action by peers. Dora B. Crandall, M.D....... G5884 ...........6/5/07.......Unprofessional conduct; false, misleading or deceptive advertising. Debbie A. Crawford, D.O. ..J8973 ...........6/25/07......Unprofessional conduct; failure to practice consistent with public health and welfare; failure to meet the standard of care; delegating to unqualified person; failure to adequately supervise; failure to maintain adequate medical records. James A. Donovitz, M.D.... K1747 ..........8/30/07......Unprofessional conduct; failure to practice consistent with public health and welfare; failure to meet the standard of care. Rodney N. Dotson, M.D. ... D9988 ..........8/28/07......Failure to maintain adequate medical records; failure to meet the standard of care; nontherapeutic prescribing; unprofessional conduct. William R. Francis Jr., M.D.E0920 .........8/29/07......Failure to maintain adequate medical records; inability to practice with reasonable skill and safety because of mental or physical condition; failure to practice consistent with public health and welfare; failure to meet the standard of care; nontherapeutic prescribing; unprofessional conduct. Jack F. Hardwick, M.D. ..... C6352 ..........8/30/07......Failure to practice consistent with public health and welfare; failure to meet the standard of care. Ramiro Hernandez, M.D. ... E6093...........11/7/07......Failure to practice consistent with public health and welfare; failure to meet the standard of care; nontherapeutic prescribing; unprofessional conduct; violation of board rules; violation of state laws. Ahmed U. Jamaluddin, M.D.H5326 ........8/30/07......Aiding and abetting unlicensed practice; delegating to unqualified person. Alfred R. Johnson, D.O...... F8525..........10/22/07.....Failure to practice consistent with public health and welfare; failure to meet the standard of care; unprofessional conduct; filing a fraudulent insurance claim; improper billing. Geoffrey Jubang, M.D. ...... E5803...........10/3/07......Failure to practice consistent with public health and welfare; nontherapeutic prescribing; unprofessional conduct; violation of board rule regarding pain treatment; violation of a state or federal law; prescribing to known abuser of drugs. Daniel H. Kinzie IV, M.D.. G8562 ..........8/20/07......Failure to practice consistent with public health and welfare; failure to meet the standard of care; nontherapeutic prescribing; failure to maintain adequate medical records. Dennis A. LaRavia, M.D. .. L4514............6/4/07.......Unprofessional conduct; violation of state or federal law; violation of board rule regarding Physician in Training permits. Harold D. Lewis, D.O. ....... E6126...........8/30/07......Failure to practice consistent with public health and welfare; failure to meet the standard of care; nontherapeutic prescribing; failure to maintain adequate medical records; violation of board rule regarding pain treatment; prescribing to known abuser of drugs. Lynn A. Lyons, D.O. ......... L4050...........8/31/07......Action in another state; failure to cooperate with Board staff. Owen S. Maat, M.D. ...........J5609 ...........8/31/07......Unprofessional conduct; failure to comply with a board order. James J. Mahoney, D.O. .... H0591 ..........8/24/07......Failure to practice consistent with public health and welfare; failure to meet the standard of care; unprofessional conduct; nontherapeutic prescribing. Alejandro F. Marquis, M.D.K1248..........8/22/07......Failure to practice consistent with public health and welfare; failure to meet the standard of care; unprofessional conduct. Daniel A. Maynard, D.O. ... E1669...........7/11/07......Failure to practice consistent with public health and welfare; failure to meet the standard of care; nontherapeutic prescribing; unprofessional conduct; violation of board rule regarding treatment of pain; prescribing to known abuser of drugs; improper billing; violation of a state or federal law. David A. McClellan, M.D.. E4511............6/4/07.......Unprofessional conduct; violation of state or federal law; violation of board rule regarding Physician in Training permits. David M. McClellan, M.D. G0476 ..........6/25/07......Failure to practice consistent with public health and welfare; failure to meet the standard of care; unprofessional conduct; failure to maintain adequate medical records; violation of board rule regarding the treatment of pain; nontherapeutic prescribing; prescribing to known abuser of drugs; improper billing; violation of a state or federal law; failure to comply with previous board order. Martin E. McGonagle, M.D.G6563 .........6/14/07......Failure to meet the standard of care; negligence; unprofessional conduct; failure to maintain adequate medical records; failure to release medical records within 15 days. Adam Naaman, M.D. ......... E3591...........8/30/07......Failure to practice consistent with public health and welfare; failure to meet the standard of care. John W. Pate, M.D. ............ E0269..........10/22/07.....Failure to practice consistent with public health and welfare; failure to meet the standard of care; unprofessional conduct. William J. Rea, M.D.. ........ D2294 ..........8/24/07......Failure to meet the standard of care; providing medically unnecessary services; nontherapeutic prescribing or treatment. Rodulfo L. Rivera, M.D. .... E6894...........8/30/07......Failure to practice consistent with public health and welfare; failure to maintain adequate medical records; failure to meet the standard of care; nontherapeutic prescribing; unprofessional conduct; aiding and abetting unlicensed practice; failure to properly delegate and supervise; violation of board rule 193.4(4). Franklin A. Rose, M.D....... G0027 ..........8/20/07......Failure to practice consistent with public health and welfare; failure to meet the standard of care; failure to maintain adequate medical records. John D. Seifert, M.D. ......... D4855 ..........8/31/07......Unprofessional conduct; failure to practice consistent with public health and welfare; nontherapeutic prescribing. Aman Ali Shah, M.D. ........M1440 ..........8/31/07......Unprofessional conduct; failure to practice consistent with public health and welfare; failure to maintain adequate medical records. Ihsan Shanti, M.D. ............. K4562 ..........8/30/07......Failure to practice consistent with public health and welfare; failure to meet the standard of care; unprofessional conduct; permitting another person to use his license to practice medicine; aiding and abetting unlicensed practice; delegating to unqualified person. Kurt J. Sherick, M.D. ......... H1210 ..........8/31/07......Unprofessional conduct; failure to practice consistent with public health and welfare; nontherapeutic prescribing; failure to maintain adequate medical records. Charles I. Sitomer, M.D. .... G7341 ..........10/3/07......Failure to meet the standard of care; unprofessional conduct; violation of a state or federal law. Garry W. Stubbs, M.D. ...... H8442 ..........8/30/07......Intemperate use; inability to practice with reasonable skill and safety because of excessive use of drugs or other substances; failure to meet the standard of care. Stephen L. Wilson, M.D. ... G4220 ..........8/30/07......Unprofessional conduct; failure to practice consistent with public health and welfare; billing for services that were not provided or were not medically necessary. New Physician Licenses Issued in Fiscal Year 2007 The Texas Medical Board issued licenses to 3,324 physicians during Fiscal Year 2007, which ended August 31. Future issues will includes lists of new licensees since the previous issue. The board congratulates the following new Texas licensed physicians: Aachen-Winans, James Meryl� MD * Aagaard-Tillery, Kjersti Marie� MD * Aaron, Houston Michael II MD * Aarsland, Asle� MD * Abando, Alan Richard� MD * Abbas, Ali� MD * Abbasi, Maaz Ahmed� MD * Abdalla, Adel Abas� MD * Abdel-Karim, Isam Ali� MD * Abdellatif, Abdul Ali� MD * Abib, Abdenour� MD * Abiog, Michael� MD * Aboul Fettouh, Osama� MD * Abraham, Joyce Joy� MD * Acton, Matthew� Michael� DO * Ada, Sreenu� MD * Adam, Octavian Remus� MD * Adams, Nourdjihane� MD * Adams, Scott Christopher� MD * Adams, Stenneth Cameron� MD * Addo-Quaye, Bernard K� MD * Adelman, Eric Adrien� DO * Adu-Gyan, Harriet Evelyn Oye� MD * Afshar-Kharaghan, Hamid� MD * Agarwal, Kathryn Sowell� MD * Agarwal, Piyush Kumar� MD * Agarwal, Pradeep Kumar� MD * Agarwal, Sandeep Krishna� MD * Aggarwal, Vishal� MD * Agrawal, Anurag� MD * Aguilar Tabora, Lesly Giselle� MD * Aguilar, Jorge� MD * Aguilar, Robin V� MD * Ahern, Ryan William� MD * Ahmad, Aftab Syed� MD * Ahmad, Omar Nazir� MD * Ahmad, Rizwan Saeed� MD * Ahmad, Syed Mehdi� MD * Ahmad, Zahid� MD * Ahmed, Aisha Jamil� MD * Ahmed, Humera� MD * Ahmed, Mohammed Aqueel� MD * Ahmed, Nabil M� MD * Ahmed, Nasiya Nareen� MD * Ahmed, Shazia� Saman� MD * Ahmed, Syed Haseen� MD * Ahmed, Yassar Iftikhar� MD * Ahmed, Yousuf� MD * Ahmed, Zaheer� MD * Ahmed, Zahoor� MD * Ahn, Lawrence� DO * Ahnfeldt, Kari Michelle� DO * Ahrar, Judy Un Chong� MD * Aisenberg, Gabriel Marcelo� MD * Ajala, Yolanda Bolanle� MD * Akin, Russell Scott� MD * Akkanti, Bindu� MD * Akpaffiong, Ekpedeme Ubong� MD * Akuagwu, Alex Ikemefuna Benjamin� MD * Alade, Kiyetta Hanan� MD * Alade, Oladapo Abimbola� MD * Alaniz, Pedro Felix� MD * Alas, Eduardo Arturo� MD * Albert, Teresa Giya� MD * Alexander, Garish Kurian� MD * Alexander, John Charles Jr MD * Alexander, Rekha Daniel� MD * Alexander, Summer Kristin� MD * Alfaro, Priscilla Jeanne� MD * Alfonso, Linda Ingeborg� MD * Ali, Nishath Athar� MD * Ali, Rukhsana Fatima� MD * Alim, Naureen� MD * Aliota, Jonathan Anderson� MD * Alkon, Jaime� MD * Allan, Patrick Francis� MD * Allembaugh, Lori Renee� DO * Allen, Robert Charles� DO * Allen-Dickerson, Blythe Lelia� MD * Allison, Scott Anthony� MD * Allison, Sean Christian� MD * Allotey, Emmanuel Francis� MD * Almaleh, Michael David� MD * Alonzo, Yolanda R.� DO * Alsabrook, Grady Dee� MD * Al-Shahrouri, Hania Ziad� MD * Alvarado Valero, Yesid� MD * Alvarez, Ricardo Hugo� MD * Alzaga, DOnna Morato� MD * Aman, Mohammad Muqaddas� MD * Amancharla, Maneesh Ram� MD * Amarasingham, Sarah Naseem� MD * Amberg, Henry Lawrence� MD * Amend, Amy Ann� MD * Amin, Aamir Abdulkader� MD * Amr, Ziad� MD * Amundson, Per Kristian� MD * Anderson, Cynthia Lee� MD * Anderson, Kent Lowell� MD * Anderson, Kristy Ellen� MD * Anderson, Matthew Allen� MD * Anderson, Sharon Elizabeth� MD * Anderson, Susan Kathleen� DO * Andino, Lizmarie� MD * Andrei, Andreea� MD * Anees, Mohammad Raza� MD * Anmuth, David Morton� MD * Anson, Byron Harris III MD * Antar, Salah� MD * Antonetti, John William� MD * Aparicio, Ana� MD * Appiah, William Opoku� MD * Apte, Udita� MD * Arab, Fathima Aw Nigar� MD * Arant, Rebecca Rucker� MD * Arat, Anil� MD * Arata, Michael Andrew� MD * Arbini, Arnaldo Augusto� MD * Archibald, Steven Andrew� MD * Arenas, Juan Dario� MD * Arendse, Alwin Brent� DO * Arias Viaud, Julio Enrique� MD * Arias, Cesar Augusto� MD * Arias, John Manuel� MD * Arifuddin, Razi M.� MD * Arise, Bhagya Rekha� MD * Arizmendi, Alejandro� MD * Arora, Anupa K� MD * Arora, Harvinder Singh� MD * Arredondo, Esteban Romero� MD * Arroliga, Mercedes Elizabeth� MD * Artis, Daniellee Lynettee� MD * Arzola, Jennifer Marie� MD * Asamoah, Osei Kwame Jr MD * Asamoah, Tracy Anthony� MD * Asaria, Sheemain� MD * Asgari, Sheida� MD * Asiain, Maria De Lourdes� MD * Atef-Zafarmand, Alireza� MD * Athanassaki, Ioanna Dimitrios� MD * Athre, Raghu Sudarshan� MD * Atkinson, David Louis� MD * Atluri, Hema� MD * Aubel, Eric Brandon� MD * Auer, Powell Britain� MD * Aurora, Vikas� MD * Awh, Mark Hyunchol� MD * Axelson, Michael David� MD * Ayala, Jose Mario� MD * Azadi, Roya Abbasian� MD * Azadi, Sohail Bahnamiri� MD * Azeem, Muhammad� MD * Azuma, Lynn Mildred� MD * Azzolini, Silvio� MD * Babb, Elisabeth J� MD * Babineaux, Tyeshia Vernee� MD * Babuji, Robert James� MD * Bachim, Blaine Michael� DO * Bachoo, Robert Manjit� MD * Back, Heather Dawn� DO * Bacon, Jeffrey Kyle� DO * Bacsik, Susan Leigh� DO * Bae, Jae-O� MD * Baez-Escudero, Jose Luis� MD * Bagwell, Shannon Huffer� MD * Bailes, Dallas� MD * Bailey, Jason Richard� MD * Bailey, Margaret Mary� DO * Bailey, Shane M.� MD * Bajaj, Sonia� MD * Baker, Charles Frederick� MD * Baker, Jeremy Scott� MD * Baker, Kemba Pili� MD * Baker, Mark DOuglas Sr MD * Baker, Shannon Cooke� MD * Bakthavachalam, Sivasanker� MD * Balakrishna, Savitha� MD * Balasubramaniam, Swarna� MD * Balch, Robert J III DO * Balderas, Valeska� MD * Baldwin, Norris Alvin Jr DO * Bale, Bradley Field� MD * Balgobin, Sunil� MD * Ball, Carrie Jeannette� MD * Ballay, Charles Joseph II MD * Ballayan, Mona Deddah� MD * Ballehr, Lisa Ona� DO * Ball-Scovel, Leslee Ione� MD * Bang, Leng� MD * Bangert, Carolyn Anne� MD * Bankes, Lindy Kathleen� MD * Banks, Heather Elizabeth� MD * Bannon, Ryan Jeremy� MD * Banwait, Kuldip Singh� MD * Barajas, Jorge II MD * Barakat, Ruchdi� MD * Barber, Shelle Smith� DO * Bardini, John Andrew� MD * Barenbaum, Masha Maria� MD * Barenberg, Kathryn Grace� MD * Barfield, Matthew Quin� DO * Barfield, Russell Lee� MD * Barnett, Barbara Sickler� DO * Barnett, Clint DOuglas� MD * Barnett, Michael Andrew� MD * Barnett, Samuel Lee� MD * Barnett, Ysabella Lucia� MD * Barroga, Desi Elpidio� MD * Barrus, David Michael� MD * Barteau, Catherine Mcdermott� DO * Barton, Joshua Grant� MD * Barzin, Sayeh� DO * Basa, Nicole Reyes� MD * Bashar, Farhana� MD * Bassil, Christopher Emile� MD * Bassili, Lisa Michelle� MD * Bassler, Robert Curtis� MD * Bastos, Renata Bonn� MD * Bates, Angela Joy� MD * Bathurst, Greg Joseph� MD * Bawduniak, John Joseph M III MD * Baweja, Gurpreet Singh� MD * Beach, Richard Sanford� MD * Beavers, Jerry DOnald� MD * Beavis, Robert Coleson� MD * Beck, Belinda Kari� MD * Becker, Heidi Ilse� MD * Becker, Natasha Sarkari� MD * Beeram, Sridhar �MD * Beeson, Jeffrey Keith� DO * Beg, Sumbul� MD * Bejarano, Jose Dario� MD * Belitsos, Theodore George� MD * Bell, Anna Clinkscales� MD * Bell, Essene Cavetta� MD * Bell, Jennifer Jee� MD * Bell, Michael Alexander� MD * Bellamy, Candace Lynese� MD * Belle, Troy Allyn� MD * Belt, Melanie Marie� MD * Benavides, Edgardo� DO * Benavides, Linda Christine� MD * Benhammou, Rania Oukhmanou� MD * Bening, Thomas Guy� MD * Benisty, Jacques� MD * Benitez, Deborah Marie� MD * Bennett, Howard Mather� MD * Bennion, Alka Batheja� MD * Bennion, Phillip Washburn� MD * Benny, Rose Santiago� MD * Bensler, James Michael� MD * Benslimane, Samia� MD * Bentley, Kenneth W� MD * Bentley, Stuart Anthony� MD * Beraho, Joseph Byamugisha� MD * Berdayes-Bowles, Maria Grace� DO * Berger, Alisa Marie� MD * Bergeron, Paul Phillip� MD * Berggren, Ruth Elizabeth� MD * Berilgen, Jason Ertan� MD * Bernstein, Eric� MD * Berry, Tiffany Jones� MD * Berthelot, Cindy Noel� MD * Betterman, Mary Jane� MD * Betz, William B� MD * Bevins, Michael Bryan� MD * Bezzant, Shane Michael� MD * Bhagat, Neena� MD * Bhagwath, Gayathri� MD * Bhandari, Meghana� MD * Bhangoo, Jaspaul Singh� MD * Bhangoo, Parmbir Shalini� MD * Bharwani, Salim Kamruddin� MD * Bhatt, Archit Chandravadan� MD * Bhatt, Kunjan Ashvinkumar� MD * Bhatt, Rajat Suresh� MD * Bhatt, Roopal Kunjan Shanghvi� MD * Bhatti, Nasir Islam� MD * Bhimani, Chandar� MD * Bhogte, Marc Sriram� MD * Bianco, Sabatino� MD * Bibawi, Samer Ernest� MD * Bibb, Christopher Odell� MD * Biela, Timothy Allen� MD * Bier, Scott A� MD * Bierbaum, Walter Frederick III MD * Biernat, Elizabeth Jolanta� MD * Biggs, Wendy Sue� MD * Bilagi, Archana Prashanth� MD * Bilhartz, Rocky David� MD * Billante, Mark Joseph� MD * Bingaman, Adam Whittier� MD * Bingaman, Kimberly Dawn� MD * Birbari, John Landis Jr MD * Birewar, Sonali Prabhakar� MD * Bishop, Kristen Allison� MD * Bismuth, Jean� MD * Black, Jennifer Olivia� MD * Blackman, Laurel Eve� DO * Blackwell, Scott� DO * Blair, Raymond Wesley Jr MD * Blake, George Edward� MD * Blake, Pamela Young� MD * Blank, Kristie Liska� MD * Blanton, Karen Helen� MD * Blatt, Brian Todd� DO * Blevins, Niska Aaron� DO * BlochMenschik, Melissa Anne� MD * Blomquist, Gustav Arthur� MD * Bloom, Christopher Atkins� MD * Bloom, Robert Allan� MD * Blount, Alice Boyd Ridgway� MD * Blum, Gary Takashiro� MD * BodeaBarothi, Stelian Paul� MD * Bodemer, William Steven� MD * Bodne, David Jerome� MD * Boehler, Lillian Margaret� MD * Boehmler, James Herbert IV MD * Boemi, Luciano� MD * Boersma, Melisa Gail� MD * Bogdan, Michael Andrew� MD * Bojkovic, Michael Neboisa� MD * Bolano, Luis Enrique� MD * Bolin, Andrew Cody� MD * Bolton, William David� MD * Bonds, Rana Suzette� MD * Bonfante Mejia, Eliana Esther� MD * Boone, Corbett Howard� MD * Boorla, Sushruti� DO * Boparai, Jasmine� MD * Borchardt, Jeffrey Andrew� MD * Borick, Jay Mitchell� MD * Boroumand, Nahal� MD * Borrelli, Joseph� MD * Borsellino, Samuel Richard� MD * Borses, Mary� MD * Borstad, Gregory Clark� MD * Boss, DOnald Jeffrey� MD * Boston, Mark� MD * Boswell, David Louis Jr MD * Botez, Maria Iuliana� MD * Bouras, John Michael� MD * Boutte, Nedrana� MD * Bowen, Michael Lawrence� DO * Boyd, Frank� DO * Boyd, Linda Renee� MD * Boyd, Martin Alan� MD * Boyer, Craig Allan� MD * Boyle, Mark Ryan� MD * Boynton, Erin Lynn� MD * Brack, Lawrence Franklin III MD * Bradford, Roger Montalvo� MD * Bradley, Jason Adam� MD * Bratcher, Christina Riecken� MD * Bratteli, Christopher Wayne� MD * Bree, Alanna Flath� MD * Brennan, Michael Lee� MD * Brenner, Adam Marshall� MD * Bressler, Robert Kloeb� MD * Brestan, Loretta Louise� MD * Bricker, Eric Randolph� MD * Brinkman, William Tumpane� MD * Brion, Luc Pierre� MD * Britten, Bart Aloysius� MD * Britton, Marcus Louis� MD * Brooks Heinzman, Alison Jeanne� MD * Brooks, Martha Ann� MD * Broussard, Julie Guilbeau� MD * Brown, Brigitte Berengere� MD * Brown, Ingrid Waag� MD * Brown, Kevin Harris� MD * Brown, Kirk W.G� MD * Brown, Margaret Ellen� MD * Brown, Michael David� MD * Brown, Michael Dewayne Jr DO * Brown, Robert� MD * Brown, Thomas Charles� MD * Brown, Zachary Edward� MD * Browning, Jared Corbett� MD * Brubaker, Latha Mary� MD * Bruce, Jinnie Ahlin� MD * Bruel, Brian Mendoza� MD * Brundage, Susan Ingrid� MD * Brunstrom, Janice Elaine� MD * Bryant, Kimberley Brooke� DO * Bub, Lawrence David� MD * Budhwar, Nitin� MD * Buell, Ann Machinsky� MD * Buell, Robert Joe� MD * Buffington, Ryan Andrew� MD * Bufkin, Bradley Lance� MD * Bui, Christina My-Phuong� MD * Bui, Cory Khoiquoc Tuong� MD * Bui, Han Quang� MD * Bui, Michael Quoc� MD * Bullocks, Jamal Morrisette� MD * Bunch, Kenneth� MD * Bunker, Noah Stephen� MD * Bunting, Liza Danielle� MD * Burcoglu-Oral, Arsinur Diana� MD * Burdette, David Duke� MD * Burger, Natalie Zlatica� MD * Burgess, Deborah Narkun� MD * Burk, David Lawrence� MD * Burket, Phillip E� MD * Burkhart, Kristi Nicole� DO * Burks, Amber Neely� MD * Burnett, Christopher Jason� MD * Burns, Tiffany Caro� MD * Burrough, Cory Brenson� MD * Bush, Nicol Corbin� MD * Bush, Tyronne� DO * Bussey-Smith, Kristin Louise� MD * Bussian, Anne Hearn� MD * Bustos, Shila Shamim� MD * Butler, David Keith Sr MD * Butler, Ray Scott� MD * Buttles, Jason Robert� MD * Buzzell, Jonathan Edward� MD * Byers, Benjamin DOnald� DO * Byers, Lauren Averett� MD * Byrd, Shonte Montez� MD * Cabell, Adam Patrick� MD * Cabrera, Rafael Alberto� MD * Cadambi, Kalpana Pandarinathan� MD * Cain, Jeffrey Scott� MD * Cain, William Curtis� MD * Cajigas, Yohmarie Margarita� MD * Calhoun, Shannon P� DO * Callaway, Edward Charles� MD * Callender, Glenda Grace� MD * Calvert, Charles Wayne� DO * Cameron, Jennifer Dawn� MD * Cameron, Scott Allen� MD * Campbell, Andrew Bruce� MD * Campbell, Katrin Ann� MD * Campbell, Scott Andrew� MD * Campbell, William Howard� MD * Cangelosi, John Joseph� MD * Canon, Honor Lee� MD * Canon, Stephen James� MD * Cantu, Jose Arturo� MD * Capener, Dale C� MD * Capote, Versallie Riparip� MD * Cappelli, Michael Cagney� MD * Carey, Holly Christine� MD * Carlson, Jeffrey Jeral� MD * Carment, John Maxwell� MD * Carnendran, Louis� MD * Carney, David Spencer� MD * Carpenter, Scott Michael� MD * Carpio-Brown, Marisol� MD * Carrell, Paul Timothy� MD * Carrillo, Raul� MD * Carroll, James Michael� MD * Carswell, Aimee Pamela� MD * Carter, Russell Huntemann� MD * Caruana, Albert Gasper Jr MD * Caskey, Melinda Augustine� MD * Castellano, Dominic Michael� MD * Castillo Salazar, Ivan Guillermo� MD * Castillo, Gregg Ceniza� MD * Castillo, Leticia� MD * Castillo, Michael Patricio� MD * Castillo, Theresa Ortega� MD * Castleberry Robinson, Christina Elizabeth� MD * Catalasan, Gerardo Mendoza� MD * Caudle, Abigail Suzanne� MD * Caviale, Paul Anthony� MD * Cavin, Lillian Whitley� MD * Cazan-London, Kevin Michael� MD * Cearley, David Matthew� MD * Cebik, Sharon Ruth� MD * Cecconi, Patricia Parker� MD * Cederberg, Kevin Bradley �MD * Celentano, James Joseph� MD * Cen, Putao� MD * Cepeda, Karla B.� MD * Cervera, Aurelio Roberto� MD * Cessnun, Colby Wayne� MD * Chacko, Leena� MD * Chaganti, Sridevi� MD * Chalkias, Fotini Maria� MD * Champion, Angela Ferguson� MD * Chan, Daniel Steven� MD * Chan, Danny� MD * Chan, Renee Louise� MD * Chan, See Wai� MD * Chandra, Rahul� MD * Chandra, Sheela� MD * Chandrakantan, Arvind� MD * Chang, Alin� MD * Chang, Andrew Hin� MD * Chang, Joseph Hsuan -Yee� MD * Chang, Lee Cin� MD * Chang, Peter� MD * Chang, Peter Shun-Hsien� MD * Chang, Sharon Bingwen� MD * Chang, Spencer Albert� MD * Chang, Su-Min� MD * Chang, Terence Min-Yee� MD * Chang, Yuchieh Kathryn� DO * Chanin, Katia� MD * Chao, Sonya Beth� DO * Chao, Tamara Tin-May� MD * Chapa, Maria DOlores� MD * Chapman, Amy Mclerran� MD * Chapman, Darren Matthew� MD * Charbeneau, Ryan Patrick� MD * Charles, Marissa Garza� DO * Charlick, Daniel Alexander� MD * Charlton, Glenn Baker� MD * Charlton, Michael Thomas� MD * Chatman, Moncenya Ladonna� MD * Chaudhuri, Debasish� MD * Chavason, Arthur Arrit� MD * Chavez-Frazier, Arianne Elizabeth� MD * Chen, Alice Jane� MD * Chen, Catherine Mai-Yu� MD * Chen, Eric� MD * Chen, Eric� MD * Chen, Peng Roc� MD * Chen, Stephen Russell� MD * Chen, Su Sin� MD * Chen, Teris Minsue� MD * Cheng, Arthur� MD * Cheng, Clint� MD * Cheng, Edaire� MD * Cheng, Jonathan Juin-Jen� MD * Cherne, Scott� MD * Cherukuri, Manjula V N R� MD * Chia, Frank An-Kuo� MD * Chilka, Sapna� MD * Chimata, Padma Rao� MD * Chin, John Kent� MD * Ching, Christine Denise� MD * Chintala, Venkatalakshmi� MD * Chintapalli, Chandra Sekher� MD * Chitnis, Shilpa� MD * Chmelik, Elizabeth Lynn� MD * Choe, John� MD * Choe, Zachia� MD * Chon, Steven Kichan� MD * Chong, Florence Besana� DO * Choudhary, Adil Mushtaq� MD * Chouteau, Whitney Leigh� DO * Chowdhary, Humera Arif� MD * Chrastil, Brenda� MD * Chu, Alfred Alan S P� MD * Chu, Danny� MD * Chu, Toni Hsi Hao� MD * Chu, Tuan-Hung Ba� MD * Chu, Wenjiang� MD * Chughtai, Omar Rasheed� MD * Chumpitazi, Bruno Pedro� MD * Chumpitazi, Corrie Klopcic� MD * Chung, Paul Chul� MD * Chuo, LiTai� MD * Church, Michelle Gali� MD * Ciabattoni, Steven Emmet� MD * Claflin, Brandon Scott� DO * Clark, Chanelle Jacora Matthews� MD * Clark, Gregory O�Neal� MD * Clark, Monica Andrea� MD * Clark, Shane Alan� MD * Clauss, Amy Dille� MD * Clinkscales, Christopher Paul� MD * Cloven, Noelle Gillette� MD * Coath, Gwennaye Cherie� MD * Coen, John Jeremiah� MD * Cohen, Brian David� MD * Cohen, Loren Edward� MD * Coleman, Kelly Marissa� MD * Coleman, Michael Howard� DO * Coleman, Neil Matthew� MD * Collier, William Eddins Jr MD * Collins, Christopher David� MD * Collins, Tyrone Jean� MD * Collura, Paul Thomas� MD * Colomer, Alberto Luis� MD * Commodore, Marius Marcel� MD * Compton, Jason Alan� DO * Conder, Thomas Charles� DO * Conley, Althea Theresa� MD * Conley, Anthony Paul� MD * Conrad, Lawrence Kirkland� MD * Conrad, Stuart Allen� MD * Constantacos, Cathrine� MD * Contreras, Janice Elizabeth� MD * Contreras, Juan Antonio� MD * Cook, Alan Dell� MD * Cooke, Kelly Jo� DO * Cooke, Shanon Marie� MD * Coon, Stephen Darrell� MD * Cooper, Jimmy Lee� MD * Cooper, Rani Michelle� MD * Cooper, Tiffany Sims� MD * Corbett, Sean Thomas� MD * Cordray, Scot Alan� MD * Corey, Judith Lynn� MD * Cork, Randall Charles� MD * Cormier, Clint Michael� MD * Cornelius, Angela Pettit� MD * Corona, Jorge� MD * Coronado, Elizabeth Neugart� MD * Corrales, Manuel F� MD * Cory, Robert Paul� MD * Cosculluela, Pedro Eugenio� MD * Costantine, Maged Milad� MD * Cottingham, John Thomas� MD * Cotton, Cynthia Lorraine� MD * Cowan, Alan Lee� MD * Craven, Cameron Ryon� MD * Crawford, Shannon David� MD * Creighton, Derrick Daniel� MD * Creo, Joseph Perfecto� MD * Crespo, Rodrigo� MD * Crim, Randall David� MD * Crittendon, Ivory III MD * Crochet, John Ray Jr MD * Crosley, Debby� MD * Crudo, Karl Vincent� MD * Crudup, Travis Wolfe� MD * Crump, Monica Elayne� MD * Cruz, Jose Maria Concha� MD * Cuenca, Rosa Elena� MD * Cuipa, Michael J� MD * Culpepper, Chantal Rayunza� MD * Cultrera, Jennifer Lyn� MD * Cummings, Terry Lu� MD * Cuniowski, Peter Andrew� MD * Curry, Choladda V� MD * Curtis, Julie Swengros� MD * Cusick, Robin Miller� MD * Cutler, Todd Dean� MD * Dadoyan, Talin Arsen� MD * Dahu, Musa Issa� MD * Dai, Eric� MD * Dalesandro, Hector Herrera� MD * Dallas, Nikolaos Andreas� MD * Dalrymple, Monica Anna� MD * Daly, Ella Joanne� MD * Dalzell, David Philip� MD * Dandona, Neal Rajat� MD * Dang, Phuong Denise� MD * Dang, Tony� MD * Dangler, Lori Ann� MD * Dani, Radhika� MD * Daniel, Lynnell Marie� MD * Darcourt, Jorge German� MD * Darido, Elias Fouad� MD * Darst, Marc Alan� MD * Das, Samiran Kumar� MD * Dauterive, Robin Lee� MD * Davae, Ketan Chandra� MD * Dave, Rupesh Kiritkumar� MD * Davenport, Peter� MD * Davies, DOnald Wesley� MD * Davila-Perez, Ruben Francisco� MD * Davis, Georganna� MD * Davis, Joanne� MD * Davis, Lesley Robin� MD * Davis, Mark Cameron� MD * Davis, Paul Lawson Jr MD * Davis, Samuel Higdon� MD * Davis, Shawn Christina� MD * Davis, Steven Ward� MD * Davis, Thomas Neil� MD * De Gravelles, Charles Eliot� MD * De Hoyos, Jose Cristobal� MD * De La Torre, Luis� Jr MD * De Lengocky, Tayson� DO * De Moor, Carrie Elizabeth� MD * De Waal, Craig Thomas� MD * Debnam, James Matthew� MD * Dedhia, Sunil� MD * Deflorio, Paul Thomas� MD * Degrange, Christie Violetta� MD * Dehlavi, Afshan Hidayat� MD * Del Rosario, Arthur Deocampo� MD * Delaguila, Cesar� MD * Delaney, Kevin Thomas� MD * Delario, Melissa Rose� MD * Deleon, Korina Marelly� MD * Delgado, Pedro Lazaro� MD * Demian, Nagi Mtanios� MD * Deming, Misty Lanell� MD * Demuth, Robert William� MD * Dennis, Allen Lee� MD * Dennis, Gary Creed� MD * Dennis, Steven Timothy II MD * Denson, Marilynn Janice� MD * Denson, Tamika Sherell� MD * Dent, Ricardo E� MD * Desai, Nilesh Kundanlal� MD * Desai, Nina Gopal� DO * Desai, Purvi Nagin� MD * Desai, Tejas Dilip� DO * Deshazer, Katherine Irene� MD * Deshmukh, Rashmi Sameer� MD * Desocio, Peter Anthony� DO * Devdas, Geetha Malini� MD * Devin, Jessica Koch� MD * Devora, Gene Arthur� MD * Deyoung, Peter Menser� MD * Dham, Anu� MD * Dhatt, Ajinder Singh� MD * Dhavale, Anant Kashinath� MD * Dhawan, Denise Marie� MD * Di Patre, Pier Luigi� MD * Dias, Cesar Augusto� MD * Diaz, Roberto Jose� MD * Diaz, Rolando Jr MD * Diaz-Calderon, Wilder� MD * Dibs, Susan Darlyne� MD * Dickason, Timothy James� MD * Dickhaus, Dellice� MD * Didia, Silvia Claudia� MD * Dieterich, Samantha Elizabeth� MD * Dieterich, Susan Caldecott� MD * Dieterichs, Sonja Cortez� MD * Difurio, Megan Justine� MD * Dillingham, Kieron Michael� MD * Dillon, Paul Lee� MD * Dilone, Leoncio� MD * Dimmock, David Paul� MD * Dimri, Manish� MD * Dinakaran, Sivavasavi Kumar� MD * Dineen, Sean Patrick� MD * Ding, Jiantao� MD * Dinh, Marie Thi� MD * Distefano, James Salvatore� DO * Divakaran, Vijay Ganesh� MD * DO, Vu Quoc� MD * Dodd, Sara Miller� MD * Doering, Jacob Paul� MD * Doeung, Sokchea Laura� MD * Dohi, David Frank� DO * Dominguez, Luis Mariano� MD * Donley, Lawrence Patrick� MD * Donnenfeld, Alan E� MD * Donthineni, Haritha Rao� MD * Donthineni, Manoj� MD * Downie, Gordon Hunter� MD * Downs, John Richard� MD * Drees, Jeffrey Joseph� MD * Dreher, Daniel Jefferson� MD * Dubal, Deepali Jitendra� MD * Dubey, Rashmi� MD * Dudley-Harrell, Holly Nichole� MD * Duenas, Alicia I� MD * Duffy, Carol Ibach� DO * Dulski, Joy Ellen� MD * Dumitrescu, Mihnea� MD * Dunagin, Rachel Lee� MD * Duncan, Tommy Brent� MD * Dunkin, Brian James� MD * Dunlap, Melinda Sue� MD * Duong, Joy Louise� MD * Durairaj, Deivapriya Natchimuthu� MD * Duran Perez, Jesus Roberto� MD * Dyer, Tracy Jane� MD * Dyke, Allen Shane� MD * Dylewski, Drew Aric� MD * Dyrved, Niels-Jorgen� MD * Dzurik, Matthew Varnell� MD * Dzurik, Yvette Bordelon� MD * Eaddy, Natasha Karise� MD * Eapen, Paula Ducote� MD * Earhart, Angela Dawn� MD * Earp, Dean Alan� MD * Easley, Evan Wayne� MD * Eastman, Dennis Patrick� MD * Easton, Wiley Ben III MD * Ebert, Andrew Marshall� MD * Eckard, DOnald Alan� MD * Eckard, Valerie Rockwell� MD * Eckmann, Maxim Savillion� MD * Eddings, Jill Marie� MD * Edgerton, Mary Elizabeth� MD * Edwards, Juanita Pollard� MD * Edwards, Thomas Duncan� DO * Ehsan, Alex Ali� MD * Eifling, Michael Dennis� MD * Eisner, Lisa Mejia� MD * Ekanayake, Surendranath� MD * Ekong, Mfon� MD * Ekstam, Christopher Lawrence� DO * El Sayed, Hosam Farouk� MD * Elendu, Sebastine Izu� MD * Elezabi, Sahar Elsayed� MD * Elias, George N� MD * Elizondo, Joseph Stephen� MD * Elkins, William Nelson III MD * Ellis, Wendell Kennell� MD * Ellison, Dale Alicia� MD * Ellisor, Sonia Selene� MD * Ely, Alexandra� DO * Elzaim, Haissam Sohail� MD * Emmett, Alisha Christine� MD * Emmons, Ethan Errol� MD * Emran, Mohammad Ali� MD * Engbretson, Jon Peter� MD * 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Vajja, Manohar Prasad� MD * Valachovic, Michael Scott� MD * Valbuena, Gustavo Adolfo� MD * Valderrabano, Miguel� MD * Valdez, Melissa Renee� MD * Valdez, Tulio Alberto� MD * Valdivieso, Jeanette Beth� DO * Valencia, Sharee Anne� MD * Valentin, Frank Edgar� MD * Vallarino, Anthony Alexis� DO * Valle, Christopher John� MD * Valle, Ramsis Omar� MD * Valmiki, Himabindu Anand� MD * Van Buren, George II MD * Van Husen, Russell� MD * Van Maele, Diane Graham� DO * Van Sickle, Kent R� MD * Vandongen, Danique Lysanne� MD * Vanness, William Charles III MD * Varela, Javier Esteban� MD * Varghese, Flora Poikayil� MD * Vargo, Christopher Joseph� MD * Varughese, Roopa� MD * Vas, Collin John� MD * Vasconcellos, Scott Anthony� MD * Vazirani, Rajendra M� MD * Vazquez, Elizabet� MD * Vazquez, Hugo Serafin� MD * Veeramachaneni, Sateesh Babu� MD * Vega-Vazquez, Francisco� MD * Vela, Ricardo� MD * Velasquez, Linda Kathleen� MD * Velazquez, Daniel Jesus� MD * Velazquez, Maria De La Luz �MD * Velez, Samuel Joseu� MD * Velusamy, Latha� MD * Vemulapalli, Sushma� MD * Vemulapalli, Syam Sundar� MD * Ven Huizen, Vanessa� DO * Venkatachalam, Anuradha� MD * Venkatramanan, Radha� MD * Vera-Burkhalter, Cheryl Dalynda� MD * Verma, Rajiv� MD * Verstringhe, Louis Edward III MD * Vesoulis, Zissis� MD * Veve, Isidra� MD * Vezzetti, Robert Martin� MD * Vibhute, Prasanna Ganpat� MD * Vichugsananon, Deena� MD * Victorica, Carlos Miguel� MD * Vierling, DOnna Marie� MD * Vigor, Carey Marie� MD * Villa, Mark Timothy� MD * Villalon, Raul Jr MD * Villanos, Maria Theresa Malazo� MD * Villarreal, Deborah� MD * Villarreal, Osvaldo� MD * Viswamitra, Sanjaya� MD * Vivo, Rey Percival Duarte� MD * Vo, Mi Nguyen� MD * Vogt-Harenkamp, Christiane Charlotte� MD * Voige, Hayley Suzanne� DO * Voigt, Charles Virgil� MD * Voigt, Jason Matthew� MD * Volpi, Elena� MD * Volpi, John Julius� MD * Vorachard, Jared Amnard� MD * Votanopoulos, Konstantinos Ioannis� MD * Vrushab, Basanti Rajesh� MD * Vu, Hung Quang� MD * Vu, Jon Thomas� DO * Vujjeni, Valli A� MD * Vusirikala, Madhuri� MD * Vyas, Anuja� MD * Vyas-Read, Shilpa� MD * Waanders, Nicholas Allen� MD * Waddell, Brad� MD * Waddell, Kevin Ray� MD * Wages, John William� MD * Waggoner, Keith Alan� MD * Wagle, Sameer Umakant� MD * Wagner, Daniel Bertram� DO * Wagner-Bartak, Nicolaus Alexander� MD * Waits, Alicia Taskara� MD * Wake, Mary Watson� MD * Waki Ho, Linda Marie� MD * Walick, Kristina Sinacori� MD * Walker, Steven Eugene� MD * Wallace, Angela Darlene� MD * Wallace, Genevieve� Rebecca� MD * Wallace, John David� MD * Wallace, Michael Lloyd� MD * Wallisch, Benjamin John� DO * Walsh, Deryk Lee� MD * Walsh, Jennifer Buchanan� MD * Walsh, Raymond James� MD * Walton, Amy Elise� MD * Walton, David Jeffrey� MD * Walton, Richard� MD * Waltrip, Robert� MD * Wang, Benny Yao-Hsien� MD * Wang, Brian ShihNing� MD * Wang, Haibo� MD * Wang, Jessica Jen Chu� MD * Wang, Jian� MD * Wang, Yubao� MD * Ward, John Francis III MD * Ward, Julia Renee� MD * Warraich, Irfan Ahmad� MD * Warwick, Kelley Mia �MD * Waseem, Malika Firdous� MD * Washington, Antonio� MD * Wasko, Carina Ann� MD * Watkins, Brennan Montgomery� MD * Watkins, David Matthew� MD * Watring, John Anthony� DO * Watson, Virginia Emily� MD * Watts, Kenneth Leroy� MD * Wax, Martin Bruce� MD * Wax, Paul Matthew� MD * Way, Sarah Shoemaker� MD * Weaver, Jason Michael� MD * Webb, Benjamin Darrell� MD * Webb, Brian Garry� MD * Weber, Jed Paul� MD * Webster, John Adams III MD * Webster, Winston Scott� MD * Weglein, Adam David� DO * Weier, Alan Victor� MD * Weinberger, Debra Gail� MD * Weiner, Bradley Kenneth� MD * Weinfeld, Adam Bryce� MD * Weirick, Troy Aaron� MD * Weisberg, Alec David� MD * Welch, Erin Marie� MD * Wellinghoff, Vanessa Thea� MD * Wells, Barbi Elizabeth� MD * Wells, Clinton Nelson� MD * Wells, Regina Denise� MD * Welsh, Scott Andrew� MD * Welter, Kimberly Rose� MD * West, Jason Lee� MD * Weston, Brian Roy� MD * Weston, Robert Andrew� MD * Wexler, Charles E� MD * Whaley, John Gregory� MD * Whatley, Kevin Brady� MD * White, Heath DOuglas� DO * White, Heather Margaret� MD * White, James Royal� MD * White, Kyle Wesley� MD * White, Linda Jean� MD * White, Lucile Elizabeth� MD * White, Toni Irene� MD * Whitehead, William Ernest� MD * Whitenton, Kristi Marie� DO * Whitfield, Kristin Lynette� MD * Whittenburg, Amber DOherty� MD * Whittington, Kinion� DO * Wiatrek, Rebecca Lynn� MD * Wiechmann, Lisa Silvia� MD * Wiederhold, Lee Roy� MD * Wieland, Kristina Marie� MD * Wiesenborn, Scott Thomas� MD * Wiley, Ruth Reposa� DO * Wilkerson, James Andrew IV MD * Williams, Clarence Edward II MD * Williams, Heather Renee� MD * Williams, John Grady� MD * Williams, Justin Barrett� MD * Williams, Olatunji Walter� MD * Williams, Susan Theresa� MD * Williams, Theresa Howell� MD * Williams, Victor� II MD * Williams, Victoria Regina� MD * Williams-King, Elicia Elaine� MD * Williamson, Robert Arthur Jr MD * Willis, Samuel Eric� MD * Willits, Mark Billy� MD * Wilson, James Wade� MD * Wilson, Joy Denise� MD * Wilson, Matthew Hunter� MD * Wilson, Melissa Luker� MD * Wimbush, Tracy Elizabeth� MD * Wink, Jennifer Sue� MD * Wintz, Ruth Lachar� MD * Wise, James Neal� MD * Wisniewski, Keith Wayne� MD * Wittram, Conrad� MD * Wofford, Michael James� DO * Wolf, Jared Allan� MD * Wolfe, Gregory Wayne� MD * Womack, James St Clair �MD * Womack, Ryan David� MD * Won, Mai Vu� MD * Wong, Adam Ken Yip� MD * Wong, Daniel Robin� MD * Wong, Philip� MD * Woo, Rebecca Jo� MD * Wood, Leisha Eileen� MD * Woodham, Ryan Max� MD * Woodman, Karin Hoang� MD * Woodman, Scott Eric� MD * Woolard, DOuglas Winfield� MD * Wright, Jennifer Lynn� MD * Wright, Randy Peter� MD * Wu, Bo� MD * Wu, Edward E.� MD * Wu, Richard ChaoChung� MD * Wyatt, Brent Michael� MD * Wyble, Stephen Scott� MD * Wydermyer, Sheena� MD * Wynn, DOn Tuan� MD * Wynn, Michael Preston �MD * Xuan, Bo� MD * Yalamanchili, Haresh� MD * Yamraj, Bhawan Narine� MD * Yang, Chou� MD * Yang, Deborah Jin� MD * Yao, June� MD * Yarlagadda, Uma� MD * Yates, Marissa Renee� MD * Yates, Matthew Charles� MD * Yaw, Kenneth Marshall� MD * Ybarra, Christie Ann� MD * Yee, Kimberly Ann� MD * Yeh, Clement� MD * Yellapragada, Sarvari Venkata� MD * Yen, Kathleen Ru-Drung� MD * Yeoman, Kristin Marie� MD * Yeung, Henry Wing Ding� MD * Yeung, John G� DO * Yin, Su� MD * Yip, Virginia Y� MD * Yom, Sue Sun� MD * Yonath, Hagith� MD * Yoo, Charles Chulhoon� MD * Yoo, Hee-Kwang� DO * Yoon Willis, Eunice� MD * Yorek, Lauren Moonan� MD * York, Gerald Edward II MD * You, Mingjian James� MD * Younas, Ahmer� MD * Young, Connie Lynn� MD * Young, Karin Wells� MD * Young, Paul Raymond� MD * Yousaf, Muhammad� MD * Youssef, Souad Sleiman� MD * Yousuf, Adnan� MD * Yu, Henry Tan� MD * Yu, Samuel DOnglon� MD * Yu, Wengui� MD * Yuen, Carrie Hau-Lai� MD * Yunyongying, Pete� MD * Yusuf, Tony Edward� MD * Zachary, James Allen� MD * Zafar, Saboohi� MD * Zaidi, Uzma� MD * Zaidi, Wasiq Ali� MD * Zak, Margaret� MD * Zakhary, Sammy Alfred� MD * Zaman Khan, Muhammad A� MD * Zaman, Mohammad Yasar� MD * Zamirpour, Payman� MD * Zapata, Helio� MD * Zarian, Lawrence Peter� MD * Zarrin-Khameh, Neda� MD * Zavala, DOnald Charles� MD * Zeballos, Alvaro Ramiro� MD * Zegar, Amir� DO * Zeikus, Eric Andrew� MD * Zeikus, Priya Swamy� MD * Zella, Stephen John� DO * Zeringue, Michael Paul� MD * Zerris, Vasilios A� MD * Zhang, Yi� MD * Ziakas, Georgios� MD * Ziari, Mohammadbagher� MD * Ziegler, Kathryn Ferry� MD * Zielinski, Steven Christopher� MD * Zorn, Jeffrey George� MD * Zsohar, Julius� MD * Zuniga-Acosta, Fabricio Jenaro� MD * Zurovec, Andrew James� MD * Disciplinary Actions QUALITY OF CARE VIOLATIONS BAHR, DOUGLAS F., M.D., NEW BRAUNFELS, TX, Lic. #H0149 On June 8, 2007, the Board and Dr. Bahr entered into an Agreed Order requiring that he complete 12 additional continuing medical education hours in the area of record keeping; have his practice monitored by another physician; submit a written detailed plan addressing procedures to be implemented by Dr. Bahr to ensure that he effectively monitor and treat his nursing home patients; and pay an administrative penalty of $1,000.The action was based on Dr. Bahr�s failure to meet the standard of care with regard to an elderly nursing home patient in that he did not appropriately treat her ongoing diarrhea, vomiting and abdominal pain secondary to an infection with clostridium difficile. BLISSARD, PAUL, M.D., AUSTIN, TX, Lic. #F6453 On June 8, 2007, the Board and Dr. Blissard entered into a three-year Agreed Order requiring that he have his practice monitored by another physician; that he have signed pain management contracts in all chronic pain patient files; and that he obtain 30 hours of Category I CME with 10 hours in medical record keeping, 10 hours in headache management, and 10 hours in pain management. The action was based on standard of care violations including his failure to adequately document past medical history, perform or document adequate physical examinations, adequately document reasons for diagnoses made, and use laboratory and imaging studies as tools to diagnose. BRUNKEN, ROBERT BYRT, M.D., DALLAS, TX, Lic. #C3593 On June 8, 2007, the Board and Dr. Brunken entered into an Agreed Order whereby the Board accepted Dr. Brunken�s voluntary and permanent surrender of his license. The action was based on Dr. Brunken�s prescribing controlled substances to a patient for weight loss without performing a thorough physical examination and assessment, mainta ining an adequate medical record, or taking corrective action upon learning that the patient was obtaining the same prescription simultaneously from another physician. CAMPBELL, ROBERT DOUGLAS, M.D., DALLAS, TX, Lic. #C3003 On June 8, 2007, the Board and Dr. Campbell entered into an Agreed Order assessing an administrative penalty of $1,000 and prohibiting Dr. Campbell from treating immediate family members, prescribing controlled substances or dangerous drugs to himself or immediate family members, or prescribing controlled substances or dangerous drugs with addictive potential or potential for abuse to any patient outside his current practice setting. The action was based on prescribing controlled substances to a family member for a nearly a three-year period without maintaining a medical record or record of the prescriptions. CARLSON, DAVID W., GARLAND, TX, Lic. #H0233 On August 24, 2007, the Board and Dr. Carlson entered into an Agreed Order requiring Dr. Carlson to obtain 12 hours of CME in cardiovascular disease and payment of an administrative penalty of $2,000. The action was based on Dr. Carlson�s inadequate treatment and monitoring of a patient with atrial fibrillation. CHANG, JUNE-CHIEH, M.D., CONROE, TX, Lic. #K4020 On August 24, 2007, the Board and Dr. Chang entered into a three-year Agreed Order requiring that he have his practice monitored by another physician, complete a course in record-keeping, and complete an additional 10 hours of CME in pain management for each year of the order. The action was based on Dr. Chang�s failure to maintain adequate medical records, failure to examine whether treatment followed was effective and if there were any alternatives to that treatment, and inadequate monitoring of medications prescribed. DAVIS, JENNIFER L., M.D., CORPUS CHRISTI, TX, Lic. #J4070 On August 24, 2007, the Board and Dr. Davis entered into an Agreed Order requiring that she complete 10 hours of CME in risk management and that she pay an administrative penalty of $1,000. The action was based on Dr. Davis� inappropriately prescribing antidepressants to herself and a family member. ELDERS, GREGORY J., M.D., GRAPEVINE, TX, Lic. #L8677 On August 24, 2007, the Board and Dr. Elders entered into a three-year Agreed Order requiring that Dr. Elders not treat or provide medications to his immediate family or himself, that he maintain a logbook of all prescriptions for controlled substances or dangerous drugs with addictive potential or potential for abuse, and that he complete an eight-hour course in medical record-keeping and an eight-hour course in ethics/risk management. The action was based on Dr. Elders� inappropriate prescribing of medications to family members without maintaining medical records. HOZDIC, RICHARD L. II, M.D., ATLANTA, TX, Lic. #J8587 On August 24, 2007, the Board and Dr. Hozdic entered into an Agreed Order requiring that Dr. Hozdic complete 10 hours of CME in the area of pediatric ENT emergencies and that he pay an administrative penalty of $1,000. The action was based on Dr. Hozdic�s failure to adequately treat a patient who had a pebble lodged in his ear. MARROW, CHARLES, M.D., TEXARKANA, TX, Lic. #E4006 On June 8, 2007, the Board and Dr. Marrow entered into an Agreed Order assessing an administrative penalty of $1,000 and requiring that Dr. Marrow provide a $200 refund to a patient for charges she incurred. The action was based on Dr. Marrow�s overcharging for completion of disability forms for a patient that were never actually sent to the appropriate parties. MASSEY, WARNER, M.D., GRAND SALINE, TX, Lic. #D6084 On August 24, 2007, the Board and Dr. Massey entered into an Agreed Order which is an addendum to his February 16, 2007, order and requires that Dr. Massey complete an additional 10 hours CME per year in pain management, 15 hours CME per year in the areas of psychiatry or psychiatric illnesses, and that he purchase and use a PDA in his regular practice with PDR/medical software installed. The action was based on Dr. Massey�s failure to adequately treat two patients with chronic headaches and anxiety. MONTELONGO, JUAN A., M.D., EL PASO, TX, Lic. #H6445 On August 24, 2007, the Board and Dr. Montelongo entered into an Agreed Order publicly reprimanding Dr. Montelongo and requiring the completion of 30 hours total in courses related to risk management, pediatric emergencies, and pediatric surgical conditions; passage of the Texas Medical Jurisprudence examination with a score of at least 75 within three attempts; completion of an Advanced Pediatric Life Support Course and Pediatric Life Support certification. The action was based on Dr. Montelongo�s failure to meet the standard of care by sending a child patient, who presented with bowel obstruction and gastroenteritis, to the ICU without obtaining an emergent surgical consultation to evaluate for an acute abdomen as a possible source of sepsis. PETEREK, WILLIAM, M.D., GALVESTON, TX, Lic. #D7384 On August 24, 2007, the Board and Dr. Peterek entered into an Agreed Order requiring that Dr. Peterek�s practice be monitored by another physician for two years and that he complete a course in record-keeping of at least eight hours. The action was based on his failure to adequately treat three patients with symptoms of hypertension, urinary dysfunction, and/or prostatitis, and failure to maintain adequate medical records. REICHERT, OSCAR MICHAEL, D.O., MOUNT PLEASANT, TX, Lic. #F7088 On June 8, 2007, the Board and Dr. Reichert entered into a five-year Mediated Agreed Order requiring that Dr. Reichert�s practice be monitored by another physician, that he pass the Texas Medical Jurisprudence exam, that he pay a $2,500 administrative penalty; that he complete an additional 15 hours per year of CME in medical record keeping and five hours per year in ethics. The action was based on Dr. Reichert�s failure to maintain adequate medical records and failure to meet the standard care in the treatment of five patients by failing to appropriately assess, diagnoses, and act on laboratory results. ROJAS, PETER P., M.D., VICTORIA, TX, Lic. #D7276 On August 24, 2007, the Board and Dr. Rojas entered into an Agreed Order requiring that Dr. Rojas complete eight hours of CME in medical record-keeping and eight hours of CME in risk management, and that he pay an administrative penalty of $2,000. The action was based on his failure to meet the standard of care for a patient who underwent ulcer surgery, as demonstrated by his failure to exercise diligence in his examination and treatment of the patient after the surgery and by failing to make and keep adequate records of examinations performed on two dates. RUGGIERO, MICHAEL F., D.O., BRYAN, TX, Lic. #H9144 On June 8, 2007, the Board and Dr. Ruggiero entered into a two-year Agreed Order requiring the physician�s practice be monitored by another physician; that he complete 20 hours of CME in each of the following: risk management, record keeping, and pain management; and that he transfer the care of patient J.K. to another physician. The action was based on Dr. Ruggiero�s failure to comply with the Board�s pain management rules regarding the care of patient J.K. and failure to refer the patient to psychotherapy or a psychiatrist when he began prescribing medications for the patient�s depression and possible bipolar disorder. SLOMAN-MOLL, ERIK, M.D., LAREDO, TX, Lic. #K6333 On June 8, 2007, the Board and Dr. Sloman-Moll entered into a three-year Agreed Order requiring that Dr. Sloman-Moll attend a Board-approved pain-management course of at least 10 hours and a course in antibiotic therapy of at least five hours, and pay an administrative penalty of $5,000. The action was based on Dr. Sloman-Moll�s treatment of two patients where he used an aggressive procedure given the first patient�s symptoms and current health status and prescribed a pain medication that was contraindicated for the second patient. SMITH, JEFFREY S., M.D., MIDLAND, TX, Lic. #K3476 On August 24, 2007, the Board and Dr. Smith entered into a three-year Mediated Agreed Order requiring that Dr. Smith�s practice be monitored by another physician, that he complete a course in spinal surgery of at least 20 hours and a course in medical record-keeping of at least 10 hours, and that he pay an administrative penalty of $3,000. The action was based on Dr. Smith�s not obtaining a discography as part of the pre-operative workup for two patients who underwent interbody fusions, and for pre-operative documentation for a patient that did not consistently document the presence of radiculopathy to substantiate surgical intervention. TAYLOR, JILL ANN, D.O., KINGWOOD, TX, Lic. #K2296 On May 10, 2007, the Board and Dr. Taylor entered into an Agreed Order requiring that she complete CME in gynecological care for primary care physicians, and that she pay an administrative penalty of $1,000. The action was based on failure to adequately evaluate a patient receiving hormonal therapy and failure to obtain medical records from previous providers to confirm previous examinations and their results. THURMAN, BENJAMIN HILL, M.D., SAN ANGELO, TX, Lic. #F4604 On June 8, 2007, the Board and Dr. Thurman entered into an Agreed Order requiring that Dr. Thurman obtain 20 hours of Board-approved CME, with half in ethics and the other half in medical record-keeping, and pay an administrative penalty of $1,000. The action was based on Dr. Thurman�s failure to keep adequate medical records and use medically acceptable testing to support his diagnosis of mercury toxicity in a patient. WIENER, ISIDORO, M.D., HOUSTON, TX, Lic. #G5769 On August 24, 2007, the Board and Dr. Wiener entered into an Agreed Order requiring that the physician obtain 10 hours of CME in the management of surgical complication. The action was based on Dr. Wiener�s delay in performing a �second-look� laparotomy for a patient who underwent a laparascopic lysis of adhesions and excision of a cecal cyst initially completed without complication, but who subsequently developed complications. WORKMAN, MARK ALBERT, M.D., WICHITA FALLS, TX, Lic. #K8582 On June 8, 2007, the Board and Dr. Workman entered into an Agreed Order requiring that Dr. Workman complete at least 10 hours of additional CME in risk management and that he pay an administrative penalty of $1,000. The action was based on Dr. Workman�s performance of a stellate ganglion block on the patient�s wrong side. UNPROFESSIONAL CONDUCT VIOLATIONS BELL, WAYNE L., M.D., POTTSBORO, TX, Lic. #E8319 On August 24, 2007, the Board and Dr. Bell entered into an Agreed Order requiring that the physician complete at least 30 hours of additional CME in risk management, medical recordkeeping, and ethics; have a chaperone present any time he performs a physical examination on a female patient; and pay an administrative penalty of $1,000. The action was based on the physician�s examination of a female patient on two occasions without a chaperone present and without creating a medical record based on the examinations. BIRMAN, ALEX, M.D., KENNEDALE, TX, Board Permit #30021243 On June 8, 2007, the Board and Dr. Birman entered into an Agreed Order publicly reprimanding Dr. Birman and assessing a $500 administrative penalty. The action was based on Dr. Birman�s failure to report on his annual report for his Texas physician- in-training permit that he had been arrested since his last report. Dr. Birman�s arrest was for possession of cocaine. KERN, SUSAN B., M.D., KINGWOOD, TX, Lic. # G6785 On August 24, 2007, the Board and Dr. Kern entered into an Agreed Order requiring that Dr. Kern limit her practice to research medicine and see patients only as part of institutional research and medicine and that she may not prescribe or authorize approval or refills of dangerous drugs. The action was based on allegations that she violated her December, 2005, order by prescribing and refilling, on several occasions, controlled substances and dangerous drugs with addictive or abusive potential. KEY, JAMES D. SR, M.D., BROWNSVILLE, TX, Lic. #E3339 On August 24, 2007, the Board and Dr. Key entered into an Agreed Order requiring that Dr. Key obtain 20 hours of CME in ethics and that he pay an administrative penalty of $3,000. The action was based on Dr. Key�s becoming financially involved with a patient in an inappropriate manner. LINDLEY, HERBERT, M.D., ANADARKO, TX, Lic. #H4018 On August 24, 2007, the Board and Dr. Lindley entered into an Agreed Order requiring that he obtain eight hours of ethics courses or ethics programs yearly for three years, and that he pay an administrative penalty of $500. The action was based on Dr. Lindley�s performance of a genital examination of a patient with abdominal pain without providing adequate explanation of the indication for the examination, failing to document the examination, and failing to adequately document the findings of the examination. MAXWELL, SETH C., M.D., GALVESTON, TX, PIT Lic. #BP30013291 On August 24, 2007, the Board and Dr. Maxwell entered into an Agreed Order assessing an administrative penalty of $1,000. The action was based on instances of unprofessional conduct and disruptive behavior while in residency at UTMB. RANA, PUSHPA R., M.D., DALLAS, TX, Lic. #E5900 On August 24, 2007, the Board and Dr. Rana entered into an Agreed Order requiring that Dr. Rana�s practice be monitored by another physician for one year and that she complete 15 hours of CME in risk management and 15 hours of CME in the treatment of allergies. The action was based on her placement on deferred adjudication due to indictments for Medicaid fraud. RAPER, THOMAS B., NEW ORLEANS, LA, Lic. #L9442 On August 24, 2007, the Board and Dr. Raper entered into an Agreed Order requiring that Dr. Raper take and pass the Medical Jurisprudence Examination and pay an administrative penalty of $5,000. The action was based on Dr. Raper�s failure to honor an agreement to practice in a rural area in Arkansas upon completion of his medical education and on his initial failure to timely repay the student loan. The agreement with the Arkansas Rural Medicine Practice Student Loan and Scholarship Board had given him special consideration to be admitted to medical school. SHELDON, WILLIAM ROBERT, M.D., PLANO, TX, Lic. #F1999 On April 13, 2007, the Board and Dr. Sheldon entered into a Mediated Agreed Order requiring Dr. Sheldon to provide reasonable access to his patients� charts for two years and a list of employees in his clinic who will observe Dr. Sheldon�s examinations of female patients; to complete the Vanderbilt course on professional boundaries or an equivalent course; and to pay an administrative penalty of $1,000. VIOLATION OF PROBATION OR PRIOR ORDER BASPED, BEAUFORD, D.O., FORT WORTH, TX, Lic. #E3813 On June 8, 2007, the Board and Dr. Basped entered into an Agreed Order incorporating and superseding Dr. Basped�s current order and allowing Dr. Basped an additional six months to complete requirements, passage of SPEX and completion of CPEP, as set out in his December 9, 2005, order. Failure to comply with requirements of the six-month extension shall result in revocation. The action was based Dr. Basped�s noncompliance with his current order. CARTWRIGHT, GREGORY BRYAN, M.D., FORT WORTH, TX, Lic. #H7544 On June 8, 2007, the Board and Dr. Cartwright entered into an Agreed Order requiring Dr. Cartwright to pay a $1,000 administrative penalty and to provide the board a copy of his child support agreement. The action was based on Dr. Cartwright�s violation of his 2004 agreed order for failure to participate in the Board�s drug testing program and to provide verification of AA attendance. Dr. Cartwright was incarcerated from July 1 to July 7, 2006, based on allegations that he was in contempt of a child support order and therefore was unable to comply with his 2004 order during this time. DEEP, ANTHONY M., M.D., SAN ANTONIO, TX, Lic. #K9254 On August 24, 2007, the Board and Dr. Deep entered into an Agreed Order requiring him to obtain 15 additional hours of CME in prescribing controlled substances, medical record-keeping, and risk management; and payment of an administrative penalty of $500. The action was based on his violation of his 2001 order prior to its expiration on December 7, 2006, that required Dr. Deep to surrender all samples of controlled substances and dangerous drugs to DPS Narcotic Services. KHAN, RABIA, M.D., IRVING, TX, Lic. #K4103 On August 24, 2007, the Board and Dr. Khan entered into an Agreed Order requiring that she comply with all CME requirements of her December 10, 2004, order with the Board within 180 days and that she pay an administrative penalty of $1,000. The action was based on her violation of the 2004 order by failing to obtain an additional 10 hours of approved CME in medical record-keeping for 2006. OKOSE, PETER C., M.D., FRIENDSWOOD, TX, Lic. #J2714 On August 24, 2007, the Board and Dr. Okose entered into an Agreed Order extending his 2006 order by two years, prohibiting him from treating pain patients or prescribing any pain medications, assessing an administrative penalty of $6,000, and requiring the revocation of his license if he again violates his 2006 order. The action was based on his treatment of pain management patients in violation of his 2006 order. ORTIZ, AURELIO A., M.D., MIAMI, FL, Lic. #F7870 On August 24, 2007, the Board and Dr. Ortiz entered into an Agreed Order requiring that he pass the Texas jurisprudence exam within 90 days and that he pay an administrative penalty of $1,000. The action was based on his violation of his 2006 Order by failing to timely complete the CME requirements and pass the JP exam as required. PATTESON, MORRIS K., M.D., LAMPASAS, TX, Lic. #E2779 On August 24, 2007, the Board and Dr. Patteson entered into a 10-year Agreed Order requiring that he abstain from consuming prohibited substances, including alcohol and drugs not prescribed for him; participate in the Board�s program for testing for drugs and alcohol; undergo an independent psychiatric evaluation; continue receiving care from his current treating psychiatrist at least once per month for the first year of treatment, and thereafter as requested; participate in the activities of Alcoholics Anonymous at least five times per week; continue to participate in the activities of a county or state medical society committee on physician health and rehabilitation; continue to participate in the Texas Medical Association random drug screening program; not treat immediate family or himself; maintain a log for every prescription written for controlled substances or dangerous drugs with addictive potential or potential for abuse; not have access to controlled substances in his office; and limit his practice to no more than 50 hours per week in a group setting. The action was based on Dr. Patterson�s testing positive for Butalbital and EtG after submitting to a random drug screening. STAFFORD, NOVARRO CHARLES, M.D., HOUSTON, TX, Lic. #H5072 On June 8, 2007, the Board and Dr. Stafford entered into an Agreed Order extending his February, 2005, order by six months and requiring that Dr. Stafford obtain 10.5 hours of classroom CME in pediatric infectious diseases. The action was based on Dr. Stafford�s failure to complete 40 hours of CME in pediatric infectious diseases as required by the 2005 order. ACTION BASED ON CRIMINAL CONVICTIONS CLAYTON, CHARLES THOMAS, M.D., THE WOODLANDS, TX, Lic. #F1452 On June 8, 2007, the Board and Dr. Clayton entered into an Agreed Order revoking Dr. Clayton�s license. The action was based on Dr. Clayton�s conviction and incarceration in federal prison for filing false tax statements and failing to file income tax returns. HALL-HERPIN, CALLIE, M.D., HOUSTON, TX, Lic. #K5306 On June 8, 2007, the Board and Dr. Hall-Herpin entered into an Agreed Order revoking the license. The action was based on Dr. Hall-Herpin�s conviction and incarceration in 2006 for conspiracy to unlawfully distribute and dispense controlled substances. ROHR, ELIZABETH ANNE, M.D., ROANOKE, TX. Lic. #J3590 On June 8, 2007, the Board issued a Final Order revoking Dr. Rohr�s license. The action was based on Dr. Rohr�s state felony conviction for Interference with Child Custody on April 13, 2006. ACTION BASED ON PEER REVIEW ACTIONS BRADY, WALTER EDWARD, D.O., MEXIA, TX, Lic. #C6122 On June 8, 2007, the Board and Dr. Brady entered into an Agreed Order publicly reprimanding Dr. Brady and assessing a $1,000 administrative penalty. The action was based on peer review action for Dr. Brady�s �failure to meet his responsibilities as the on-call physician by refusing to reexamine a patient upon the request of an R.N.� INADEQUATE MEDICAL RECORDS BOND, WILLIAM M., M.D., HOUSTON, TX, Lic. #F9220 On August 24, 2007, the Board and Dr. Bond entered into a two-year Agreed Order requiring that Dr. Bond have his practice monitored by another physician and that he obtain 10 additional hours of CME in medical record-keeping. The action was based on Dr. Bond�s failure to maintain adequate and legible medical records. DESHMUKH, AVI TRIMBAK, MD., STEPHENVILLE, TX, Lic. #H1067 On June 8, 2007, the Board and Dr. Deshmukh entered into a Mediated Agreed Order requiring that Dr. Deshmukh incorporate into at least two seminars addressing female urinary incontinence at which he is a speaker a 10-20 minute discussion regarding the use or non-use of cystoscopy after operative treatment of female urinary incontinence. The action was based on inadequate medical records. FRANCIS, ALBERTO, M.D., McALLEN, TX, Lic. #F8484 On August 24, 2007, the Board and Dr. Francis entered into an Agreed Order requiring that Dr. Francis complete a 10-hour course in medical record-keeping and that he pay an administrative penalty of $500. The action was based on Dr. Francis� failure to maintain adequate medical records for a patient on whom he performed a tubal ligation. McDONALD, BRUCE B., M.D., AUSTIN, TX, Lic. #E0261 On August 24, 2007, the Board and Dr. McDonald entered into an Agreed Order assessing an administrative penalty of $500. The action was based on Dr. McDonald�s prescription of Tenuate Dospan to a family member for the purpose of weight reduction without maintaining medical records to document the circumstances under which he prescribed the medication. O�NEAL, DON MARTIN, M.D., SULPHUR SPRINGS, TX, Lic. #E2769 On June 8, 2007, the Board and Dr. O�Neal entered into an Agreed Order requiring that Dr. O�Neal�s practice be monitored by another physician for one year and that he obtain five hours of CME in the area of medical record keeping. The action was based on inadequate medical records. VEMURU, RAVIKUMAR, M.D., ODESSA, TX, Lic. #J5044 On August 24, 2007, the Board and Dr. Vemuru entered into an Agreed Order requiring that he complete five hours of CME in medical record-keeping and five hours in risk management. The action was based on his failure to document his interactions with a patient being treated for iron deficiency and the reason for the delay in providing results from a diagnostic study. WHITT, WINSTON ARNETT, M.D., LUBBOCK, TX, Lic. #J4612 On May 10, 2007, the Board and Dr. Whitt entered into an Agreed Order requiring that he successfully complete a medical record keeping course offered by the University of California San Diego Physician Assessment and Clinical Education (PACE) program, or an approved equivalent program, and pay an administrative penalty of $2,000. The action was based on allegations that Dr. Whitt failed to adequately maintain medical records for his chronic pain patients between 2002 and 2004. INAPPROPRIATE CONDUCT INVOLVING PHYSICIAN-PATIENT RELATIONSHIP FARBER, STEVEN HOWARD, M.D., CONROE, TX, Lic. #F8102 On June 8, 2007, the Board and Dr. Farber entered into an Agreed Order suspending Dr. Farber�s license until he personally appears before the board and provides clear and convincing evidence that he is physically, mentally, and otherwise competent to safely practice medicine; and further requiring that for 10 years Dr. Farber abstain from drugs and alcohol; participate in the board�s drug testing program; and provide to the board a list of all subsequent prescriptions and any subsequent orders for prohibited substances. The action was based on Dr. Farber�s engaging in sexual contact and sexually inappropriate behavior with a patient; becoming financially involved with a patient; behaving in an abusive manner towards a patient that could be reasonably expected to adversely impact the quality of care rendered to a patient; nontherapeutic prescribing of medication; writing false or fictitious prescriptions for dangerous drugs; and inability to practice medicine with reasonable skill and safety to patients because of illness, drunkenness, and excessive use of drugs and narcotics. GULLEDGE, WILLIAM RALPH, M.D., FORT WORTH, TX, Lic. #E9213 On July 3, 2007, the Board and Dr. Gulledge entered into an Agreed Order publicly reprimanding Dr. Gulledge and requiring Dr. Gulledge to pay an administrative penalty of $5,000 and to obtain 10 hours of Category CME credits in medical records, with a prescribing/delegation component if available. The action was based on Dr. Gulledge maintaining a personal and sexual relationship with a patient and prescribing medication to this patient while the relationship was ongoing. IMPAIRMENT DUE TO ALCOHOL OR DRUGS GUERRERO, TERESA TRUMBLE, M.D., THE WOODLANDS, TX, Lic. #H8471 On June 8, 2007, the Board and Dr. Guerrero entered into a four-year Agreed Order requiring that Dr. Guerrero abstain from the consumption of prohibited substances; participate in the board�s drug testing program; continue quarterly care from her treating psychiatrist and monthly care from her treating licensed professional counselor; and participate in AA at least three times a week. The action was based on Dr. Guerrero�s abuse of hydrocodone and Xanax and her March 2006 arrest for obtaining controlled substances by fraud with the charge later reduced to possession of controlled substance. KETTERER, CYNTHIA LEE, M.D., HOUSTON, TX, Lic. K3771 On June 8, 2007, the Board and Dr. Ketterer entered into an Agreed Order suspending Dr. Ketterer�s license until she successfully completes the CPEP or PACE program. Upon her completion of either program the suspension shall be stayed and Dr. Ketterer will be placed on probation for 15 years and she will be required to abstain from prohibited substances; participate in the board�s drug testing program; participate in AA five times a week; participate in weekly meetings of a county or state medical society committee on physician health and rehabilitation; continue to receive care and treatment from her current treating psychiatrist; not self-prescribe or prescribe to family members controlled substance or dangerous drugs with addictive potential or potential for abuse; and limit her medical practice to her current practice or a group or institutional setting. The action was based on Dr. Ketterer�s request that her suspension imposed on August 15, 2003, be lifted based on her two-year sobriety and current recovery program. LONGMOOR, CHARLES E., M.D., DALLAS, TX, Lic. #J4307 On August 24, 2007, the Board and Dr. Longmoor entered into a seven-year Agreed Order limiting his practice of medicine to a group or institutional setting; requiring he abstain from the consumption of prohibited substances, participate in the board�s drug screening program, undergo a 96-hour inpatient evaluation for substance abuse, be treated by a psychiatrist and psychotherapist, attend AA at least five times a week, and pay an administrative penalty of $1,000. The action was based on his intemperate use of alcohol and his 30-day jail sentence for violation of his deferred adjudication agreement related to charges of criminal trespass of a habitation. SAUCEDA, FRANCISCO BASIL, M.D., SAN ANTONIO, TX, Lic. # H8375 On June 8, 2007, the Board and Dr. Sauceda entered into a 15-year Agreed Order placing Dr. Sauceda on probation and requiring that he abstain from the consumption of prohibited substances; participate in the board�s drug screening program; obtain treatment from a psychiatrist on at least a monthly basis, with reports from the treating psychiatrist sent to an independent monitoring psychiatrist; attend AA or Caduceus at least five times a week; limit his practice to a group or institutional setting; not supervise PAs or APNs; and enroll in and complete a clinical mini-residency of at least 90 days. The action was based on the lifting of a suspension of Dr. Sauceda�s license that has been in effect since February 17, 2005. The suspension occurred due to Dr. Sauceda�s substance abuse and arrest in December 2004 for cocaine possession and misdemeanor theft. SILVA, SERGIO, M.D., AUSTIN, TX, Lic. #J8773 On August 24, 2007, the Board and Dr. Silva entered into an Agreed Order suspending Dr. Silva�s license until at least May 11, 2008, and until he can provide evidence that he is able to safely practice medicine. The action was based on his nontherapeutic prescribing of medicatio ns to a seven-year old patient who subsequently suffered from medication induced toxicity, and Dr. Silva�s impairment due to his use of cocaine. WRIGHT, MARK L., M.D., WACO, TX, Lic. #H4810 On August 24, 2007, the Board and Dr. Wright entered into a 10-year Agreed Order requiring that Dr. Wright abstain from consuming prohibited substances, including alcohol and drugs not prescribed for him; participate in the board�s program for testing for drugs and alcohol; continue receiving care from his current treating psychiatrist at least once every other week in group therapy and once a month on an individual basis; and participate in the activities of AA at least three times per week. The action was based on Dr. Wright�s abuse of alcohol. NONTHERAPEUTIC PRESCRIBING CABANSAG, DEAN A., M.D., ARLINGTON, TX, Lic. #L3255 On August 24, 2007, the Board and Dr. Cabansag entered into a three-year Agreed Order requiring that he limit his practice to a group or institutional setting, that he maintain a logbook of all prescriptions written for controlled substances or dangerous drugs with addictive potential or potential for abuse, that his practice be monitored by another physician, that he pass the Special Purpose Examination, that he personally attend and complete 10 hours of ethics and 10 hours of CME in pain management, and that he pay an administrative penalty of $3,000. The action was based on his failure maintain adequate medical records related for patients with intractable pain, and his nontherapeutic prescribing of medications. GIBSON, DONALD II, M.D., SUGARLAND, TX, Lic. #H5209 On August 24, 2007, the Board and Dr. Gibson entered into a five-year Agreed Order requiring that Dr. Gibson become familiar with state and federal law pertaining to dangerous drugs and controlled substances, that his practice be monitored by another physician, that he complete 10 hours of CME in medical ethics and medical record-keeping, and that he complete the process of becoming re-certified by the American Board of Internal Medicine. The action was based on Dr. Gibson�s maintenance of inadequate and illegible medical records for patients with intractable pain and his nontherapeutic prescribing of dangerous or addictive drugs. LANGSJOEN, HANS ALFRED, M.D., GALVESTON, TX, Lic. #E2668 On June 8, 2007, the Board and Dr. Langsjoen entered into a three-year Agreed Order requiring that Dr. Langsjoen not provide medical treatment to his family; not prescribe controlled substances or dangerous drugs with addictive potential or potential for abuse to himself or family members; abstain from consumption of prohibited substances for six months and participate in the board�s drug testing program during this time; obtain 10 hours of CME in ethics and record- keeping, pass the Texas Medical Jurisprudence exam; appear before the board before reapplying to DEA or DPS to obtain controlled substance registrations; pay an administrative penalty of $2,500; and not supervise or delegate prescriptive authority to PAs or APNs. The action was based on Dr. Langsjoen�s ordering a large amount of controlled substances that were delivered directly to his residence to self-treat his restless leg syndrome and to be used by family members with ADD, kidney stones, and diabetes. MANIA, WILLIAM M., M.D., RICHARDSON, TX, Lic. #F9770 On August 24, 2007, the Board and Dr. Mania entered into an Agreed Order requiring that he obtain an additional six hours of medical record-keeping, six hours in the diagnosis and treatment of psychiatric disorders, and pay an administrative penalty of $1,000. The action was based on his nontherapeutic prescribing of Xanax to a patient. ADVERTISING VIOLATIONS CZEKAJ, PHILIP, M.D., SAN ANTONIO, TX, Lic. #G4946 On June 8, 2007, the Board and Dr. Czekaj entered into an Agreed Order assessing an administrative penalty of $500. The action was based on Dr. Czekaj�s use of misleading advertising that implied that Dr. Czekaj was board certified in Cenegenics or Age Management, when his actual board certification is in Emergency and Preventive Medicine. FAM, FATHI G., M.D., DALLAS, TX, Lic. #E7909 On August 24, 2007, the Board and Dr. Fam entered into an Agreed Order requiring that he complete 20 hours of CME in medical ethics, that he maintain his web site and printed materials related to skin care classes and services in compliance with board rules and the he pay a $5,000 administrative penalty. The action was based on his publications of advertisements that contained statements that were confusing, misleading and not readily subject to verification. ROBY, RUSSELL R., M.D., AUSTIN, TX, Lic. #E1255 On August 24, 2007, the Board and Dr. Roby entered into a four-year Agreed Order requiring that Dr. Roby provide certain information to the public in all advertisements and print media; that his practice be monitored by another physician; that he successfully complete the medical record-keeping course offered by the University of California San Diego Physician Assessment and Clinical Education (PACE) program, or an approved equivalent program; that he complete six hours of CME in ethics; that he not treat any patient with thyroid therapy; that he maintain a logbook for each patient of all antigen injections given to that patient; that he provide copies of all proposed clinical studies research projects, IRB proposals, phase 1 and 2 studies/results, and any on-going or proposed research projects; and that he pay a $15,000 administrative penalty. The action was based on misleading advertising about �hormone neutralization therapy.� ROUTH, LISA, M.D., HOUSTON, TX, Lic. #H2742 On June 8, 2007, the Board and Dr. Routh entered into an Agreed Order assessing an administrative penalty of $1,000 and requiring that Dr. Routh revise her internet advertising to comply with all relevant laws and rules and submit copies of the revised advertisements to the Executive Director. The action was based on Dr. Routh�s use of misleading advertising that included non-verifiable statements of professional superiority on the internet. TRIGO, LUIS C. III, M.D., DALLAS, TX, Lic. #J2467 On August 24, 2007, the Board and Dr. Trigo entered into an Agreed Order requiring that Dr. Trigo complete eight hours of ethics, that he complete an office management audit, that he revise his CV and office brochure to remove any and all false and/or misleading statements, and that he pay an administrative penalty of $1,000. The action was based on his use of misleading advertisements and his failure to adequately supervise those working under his direction. TYLOCK, GARY R., M.D., IRVING, TX, Lic. #G2869 On August 24, 2007, the Board and Dr. Tylock entered into an Agreed Order requiring that he develop a written internal protocol to be approved by the Executive Director that sets out guidelines for all advertising related to Dr. Tylock�s practice and that he pay an administrative penalty of $500. The action was based on his advertising professional superiority without identifying the basis for the claim in the advertising. INADEQUATE SUPERVISION OR DELEGATION SCHROEDER, VINITA B., M.D., HIGHLAND PARK, TX, Lic. #J4504 On August 24, 2007, the Board and Dr. Schroeder entered into an Agreed Order assessing an administrative penalty of $5,000. The action was based on her delegation of a medical act and failure to supervise a physician not licensed in the state of Texas. VIOLATION OF BOARD RULES OLIVENCIA-YURVATI, ALBERT H., D.O., FORT WORTH, TX, Lic. #H2655 On August 24, 2007, the Board and Dr. Olivencia-Yurvati entered into an Agreed Order assessing an administrative penalty of $5,000 and requiring that the physician research and write a paper suitable for publication regarding the steps to follow in the diagnosis and treatment of esophageal injuries. The action was based on his failure to use proper diligence in his workup of a patient who required esophageal repair after a perforation by the anesthesiologist during a surgical procedure by another physician. PIGOTT, SHIRLEY P., M.D., VICTORIA, TX, Lic. #F7054 On August 24, 2007, the Board and Dr. Pigott entered into a Mediated Agreed Order requiring that Dr. Pigott obtain 10 hours of CME in the area of medical record keeping, that she submit written office policies relating to the office�s practice and procedure for managing requests for medical records and lab reports, and that she pay an administrative penalty of $500. The action was based on Dr. Pigott�s failure to timely release certain lab tests to a single patient. VOLUNTARY SURRENDERS BLINKOV, ANDREW, M.D., HOUSTON, TX, Lic. #K1368 On August 24, 2007, the Board and Dr. Blinkov entered into an Agreed Order permitting Dr. Blinkov to voluntarily surrender his license. The surrender was permitted in lieu of further investigation related to his alleged violation of his August 2006 order. BRYAN, GARY L., M.D., PLANO, TX, Lic. #M0024 On August 24, 2007, the Board and Dr. Bryan entered into an Agreed Order revoking Dr. Bryan�s license. The action was based on Dr. Bryan�s alcohol relapse on January 24, 2007, while under a suspension order of the board requiring abstinence from alcohol. CONNER, W. KEITH, D.O., AUSTIN, TX, Lic. #G8683 On August 24, 2007, the Board and Dr. Connor entered into an Agreed Order prohibiting him from maintaining a medical office and requiring the cancellation of his license at the end of November 2007 based on his voluntary surrender of his license. The action was based on his placement on deferred adjudication for a misdemeanor for prescribing Xanax to a patient without a physical examination or an adequate medical record. CREAMER, DICK O., M.D., SAN ANTONIO, TX, Lic. #C1830 On August 24, 2007, the Board and Dr. Creamer entered into an Agreed Order whereby the board accepted Dr. Creamer�s voluntary and permanent surrender of his license. The action was based on Dr. Creamer�s prescribing of controlled substances for family members, former patients, and himself without maintaining adequate medical records. GORDON, WILLIAM H. JR., M.D., LUBBOCK, TX, Lic. #D0890 On August 24, 2007, the Board and Dr. Gordon entered into an Agreed Order accepting the voluntary surrender of Dr. Gordon�s license. The action was based on his failure to comply with a board subpoena for medical records while under a suspension order of the board. KHAN, NASIM, M.D., SPRING, TX, Lic. #G5947 On August 24, 2007, the Board and Dr. Khan entered into an Agreed Order whereby the board accepted Dr. Khan�s voluntary and permanent surrender of his license. The action was based on her failure to meet the standard of care due to her nontherapeutic prescription of controlled substances to four patients and to herself. MARRACK, DAVID, M.D., BELLAIRE, TX, Lic. #D1318 On August 24, 2007, the Board and Dr. Marrack entered into an Agreed Order whereby the board accepted Dr. Marrack�s voluntary and permanent surrender of his license. The action was based on Dr. Marrack�s permanent and severe loss of vision, and his decision to surrender his license in lieu of further investigation relating to allegations that he failed to comply with federal guidelines related to his prescribing of controlled substances. OTHER STATE BOARD ACTIONS DEAN, PATRICK J., M.D., MEMPHIS, TN, LIC. #491214 On August 24, 2007, the Board and Dr. Dean entered into an Administrative Agreed Order reprimanding Dr. Dean and requiring him to comply with all the terms and conditions of his Consent Order entered by the North Carolina Medical Board on September 14, 2006. The action was based on action taken by the North Carolina Medical Board as a result of Dr. Dean�s evaluating pathology specimens from patients in North Caroline prior to having obtaining a North Carolina medical license. TEMPORARY RESTRICTION OR SUSPENSION WOODWARD, JOHN R., M.D., DALLAS, TX, LIC. #D4884 On August 24, 2007, the Board issued a Temporary Restriction Order against Dr. Woodward that prohibits Dr. Woodward from prescribing or administering any controlled substances or dangerous drugs. The action was based on the board�s determination that Dr. Woodward has demonstrated impaired judgment in part as a result of his self-prescribing of Accomplia, which caused him significant severe effects and is not approved by the FDA for use in the United States. CEASE AND DESIST ORDERS The 80th Legislature gave the Texas Medical Board the authority to issue cease-and-desist orders in cases where it finds the unlicensed practice of medicine, and the following orders were issued in accordance with the legislation and with Board Rule Chapter 198, Unlicensed Practice. On August 24, 2007, the Board and Burnett Armstrong entered into an Agreed Cease and Desist Order, requiring that Ms. Armstrong cease and desist any practice of medicine effective August 13, 2007. The action was based on her holding herself out as a physician and treating a patient for the flu even though Ms. Armstrong is not licensed to practice medicine in Texas. On August 24, 2007, the Board and Charles Richter entered into an Agreed Cease and Desist Order, requiring that Mr. Richter cease and desist any practice of medicine in the state of Texas, effective August 7, 2007. The action was based on his holding himself out as a physician and treating several patients diagnosed with cancer even though Mr. Richter is not licensed to practice medicine in Texas. MINIMAL STATUTORY VIOLATIONS The board entered into agreed orders with 48 physicians for minimal statutory violations. NONDISCIPLINARY REHABILITATION ORDERS The board entered into agreed nondisciplinary rehabilitation orders with 57 physicians during FY-07. PHYSICIAN ASSISTANTS CASEY, DENNIS, P.A., Kingwood, TX, Lic. #PA-00129 On May 18, 2007, the Physician Assistant Board and Mr. Casey entered into an three-year Agreed Order requiring that Mr. Casey obtain an annual evaluation from his supervising physician, complete a course in medical records, obtain five hours in ethics each year, and pay an administrative penalty of $2,000. The action was based on Mr. Casey�s failure to adequately evaluate and document patients� histories and physical examinations, and inappropriate providing of narcotics without documenting a medical justification. McCARTY, RENE LUNDAY, P.A., Tyler, TX, Lic. #PA-01101 On May 18, 2007, the Physician Assistant Board and Ms. McCarty entered into an Agreed Order requiring Ms. McCarty to pay an administrative penalty of $500. The action was based on Ms. McCarty�s treating patients from October 27, 2005, until February 5, 2006, without a supervising physician. Mitigating factors included Ms. McCarty�s 20 years in practice without incident and her effort to provide health for minor ailments to low-income, uninsured patients. WEBSTER, ROBERT LEON, P.A. Houston, TX, Lic. #PA-04057 On May 18, 2007, the Physician Assistant Board and Mr. Webster entered into an three-year Agreed Order requiring that he obtain an annual evaluation from his supervising physician, complete a course in medical records, obtain five hours in ethics each year, and pay an administrative penalty of $2,000. The action was based on Mr. Webster�s failure to adequately evaluate and document patients� histories and physical examinations, and inappropriate providing of narcotics without documenting a medical justification.