Texas DEA registration and controlled substance licensing

Facts

DEA listing

DEA lists Texas under: One License Requirement

Note

DEA's page titles this column 'One License Requirement'.

DEA: Medical State Licensure and/or Controlled Substance Licensure

Moving to or adding Texas

• Get the Texas license first.
• Then apply for or update the DEA registration for Texas. Per the DEA Registration Q&A, a separate DEA registration is needed in each state where you practice and dispense controlled substances.
• DEA registration page

NPs and PAs

DEA treats NPs and PAs as mid-level practitioners. Authority comes from state law, so check the Texas board.

Neighbors

3 of the 4 bordering states are listed with a second-CS-license flag: Louisiana, New Mexico, Oklahoma.

• Arkansas — one-license flag.
• Louisiana — second-CS-license flag.
• New Mexico — second-CS-license flag.
• Oklahoma — second-CS-license flag.

The count is the number of named qualifying neighbors out of all listed land/river neighbors. Open-water-only and point-only contacts are excluded; a neighboring status does not grant practice authority here.

In this state, in context

BLS OEWS May 2025 annual mean employee wages — physicians, all other: $257,240; nurse practitioners: $131,420; physician assistants: $135,850. The physician row is the broad “physicians, all other” category, not an average for all physicians or a particular specialty. These are employee wage estimates, not total compensation or contract rates.

Texas physicians, all other pay · Texas nurse practitioners pay · Texas physician assistants pay · Texas nurse anesthetists pay

Decision checklist for Texas

• Use the Texas practice address, not only an employer’s name, when reviewing the registration question.
• Confirm the rule for each principal dispensing place at one general physical location in 21 CFR 1301.12.
• Check state authority with the relevant board before relying on DEA registration.

The DEA Registration Q&A separately explains registration for practices in different states. The state listing is a flag to verify, not a complete description of an individual clinician’s authority.

Find your state board (FSMB directory)

Sources

• DEA: Medical State Licensure and/or Controlled Substance Licensure
• DEA Diversion Control Division: Registration Q&A
• 21 CFR 1301.12 (Cornell LII)
• DEA: Registration

General information, not legal or insurance advice. Confirm details with the state board, DEA, or the carrier.