Texas is listed by the IMLCC as a member that can serve as a State of Principal License. Eligible physicians can use the compact as an expedited route to a Texas license, which the state board still issues.
The IMLC offers an expedited route to additional state licenses for eligible physicians, including a Texas license. Eligibility is set by the compact, so check the IMLCC information for physicians before applying. The Texas board still issues the license.
The IMLC covers physicians only. Nurse practitioners and physician assistants should check licensing requirements directly with the relevant state board.
2 of the 4 bordering states are IMLC members: Louisiana, Oklahoma.
Counts use shared land/river borders, exclude open-water-only and point-only contacts, and include the District of Columbia where adjacent. Count the named qualifying neighbors and divide the list into qualifying and other recorded statuses; no status is inferred for an unrecorded IMLC state.
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
Always confirm current requirements with the state board; IMLC participation can change.
Yes. The IMLCC member boards list (updated 1/1/2026) shows Texas as a member that can serve as State of Principal License, joined 6/7/2021, go-live Mar-22. Always confirm current requirements with the state board; IMLC participation can change.
No. The compact offers an expedited route for eligible physicians, but the Texas board issues the license.
No. The IMLC covers physicians only. NPs and PAs should check with the Texas board.
2 of the 4 bordering states are IMLC members: Louisiana, Oklahoma.
No. The linked BLS state wage estimates describe employee wages, not licensing, compact privileges or prescribing authority. Confirm the Texas board’s requirements separately.