Tex. Codes » Occupations Code · TITLE 3. HEALTH PROFESSIONS · SUBTITLE C. OTHER PROFESSIONS PERFORMING MEDICAL PROCEDURES · CHAPTER 204. PHYSICIAN ASSISTANTS
Texas Codes

Tex. Occ. Code § 204.204 (2026)

Supervision Requirements

✓ current as of May 2026
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Sec. 204.204. SUPERVISION REQUIREMENTS. (a) A physician assistant shall be supervised by a supervising physician. A physician assistant may have more than one supervising physician. The supervising physician oversees the activities of, and accepts responsibility for, medical services provided by the physician assistant.

(b) Supervision of a physician assistant by a supervising physician must be continuous. The supervision does not require the constant physical presence of the supervising physician where physician assistant services are being performed, but, if a supervising physician is not present, the supervising physician and the physician assistant must be, or must be able to easily be, in contact with one another by radio, telephone, or another telecommunication device.

(c) The number of physician assistants a physician may supervise in a practice setting may not be less than the number of physician assistants to whom a physician may delegate the authority to prescribe or order a drug or device in that practice setting under Subchapter B, Chapter 157.

Acts 1999, 76th Leg., ch. 388, Sec. 1, eff. Sept. 1, 1999.

Amended by:

Acts 2013, 83rd Leg., R.S., Ch. 418 (S.B. 406), Sec. 14, eff. November 1, 2013.

Notes of Decisions
Cited in 7 cases, 2001–2018 · leading case: Terry A. Leonard, P.A. v. Glenn, 293 S.W.3d 669 (Tex. App. 2009).
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Terry A. Leonard, P.A. v. Glenn, 293 S.W.3d 669 (Tex. App. 2009). · cites it 2× “Tex. Occ.Code Ann. § 204.204(a) (Vernon 2004) ("A physician assistant shall be supervised by a supervising physician.”
Cox v. MA Primary & Urgent Care Clinic, 313 S.W.3d 240 (Tenn. 2010). “”); Tex. Occ. Code Ann. § 204.204 (a) (West, Westlaw through 2009 Sess.”
Dunlap v. Young, 187 S.W.3d 828 (Tex. App. 2006). “” Tex. Occ.Code Ann. § 204.204(a). 10 . Effective September 1, 2003, the substance of former Section 74.”
in the Interest & Prot. of R.G.P. (Tex. App. 2009). · cites it 2× “401(c)(2) (emphasis added); see 6 Dr. Hain supervised Leonard, her physician assistant.”
Raymond R. Fulp, III, D.O. v. John Petitta (Tex. App. 2018). “There, Fulp performed four 1 See TEX. OCC. CODE ANN. § 204.204(a) (West, Westlaw through 2017 1st C.”
Dysart v. Selvaggi, 159 F. Supp. 2d 387 (N.D. Tex. 2001). “” Tex. Occ.Code Ann. § 204.204 (Vernon 2001 Pamphlet).”
Michael J. DeLitta v. Nancy Schaefer (Tex. App. 2015). “4 TEX. OCC. CODE §204.204 .................”
Tex. Occ. Code § 204.204(a): 4 cases
Terry A. Leonard, P.A. v. Glenn, 293 S.W.3d 669 (Tex. App. 2009). “Tex. Occ.Code Ann. § 204.204(a) (Vernon 2004) ("A physician assistant shall be supervised by a supervising physician.”
Dunlap v. Young, 187 S.W.3d 828 (Tex. App. 2006). “” Tex. Occ.Code Ann. § 204.204(a). 10 . Effective September 1, 2003, the substance of former Section 74.”
in the Interest & Prot. of R.G.P. (Tex. App. 2009). “401(c)(2) (emphasis added); see 6 Dr. Hain supervised Leonard, her physician assistant.”
Raymond R. Fulp, III, D.O. v. John Petitta (Tex. App. 2018). “There, Fulp performed four 1 See TEX. OCC. CODE ANN. § 204.204(a) (West, Westlaw through 2017 1st C.”
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