When a dental practice partners with an anesthesia provider, the practice is doing more than choosing a service. It is taking on the question of whether that provider operates inside the standards Texas sets for office-based anesthesia. Texan Anesthesiology Association is built to answer that question simply.
The standards that govern office-based anesthesia in Texas.
Three bodies set the standards that apply to anesthesia delivered in a dental practice: the American Society of Anesthesiologists, the Texas Medical Board, and the World Health Organization. Each one covers a different piece of the picture: who can administer anesthesia, what equipment must be present, how patients must be monitored, and how the anesthesia team must be staffed.
Texan AA meets all of them. The table to the right is the same one we share with partner practices doing due diligence.
Texan AA meets all of them. The table to the right is the same one we share with partner practices doing due diligence.
Standard
why it matters
texan aa
Physician (MD) administering anesthesia
ASA and WHO both call for anesthesia to be led by a medical anesthesiologist
Clinical team (MD + RN/MA)
TMB and the ASA strongly advise assistance in addition to the anesthesiologist
Full machine, monitors, meds, emergency supplies
Required under Texas OBA rules and ASA monitoring standards
Anesthesia clearance handled by the clinical care team
ASA standard
Inspected & found compliant by the Texas Medical Board
Documented readiness to protect your dental practice
First in Texas*
*First mobile anesthesia provider inspected by the Texas Medical Board, per Dr. Williams. References: ASA Statement on Physician-Led Anesthesia Care; ASA Statement on Sedation & Anesthesia Administration in Dental Office-Based Settings; TMB Chapters 192 & 173. Not legal advice.
Inspected and found compliant by the Texas Medical Board.
The Texas Medical Board regulates office-based anesthesia through TMB Chapters 192 and 173. Those rules cover equipment, monitoring, drug security, recordkeeping, emergency preparedness, and the credentials of the providers delivering care. They apply to any anesthesia practice operating outside of a hospital or licensed surgery center.
A TMB inspection means the regulator has reviewed the practice against those rules and found it compliant. It is not a marketing claim. It is documented readiness.
As far as we are aware, Texan Anesthesiology Association is the first mobile anesthesia provider in Texas to be inspected by the Texas Medical Board. We were found compliant.
What compliance means for your practice.
When a dental practice refers patients to an anesthesia provider, the standards that provider operates under are not abstract. They become part of the practice's risk picture.

A non-compliant provider creates exposure.
Office-based anesthesia rules exist because of what can go wrong when they are not followed. Equipment that is not there. Monitoring that is not done. A team that is not staffed for emergencies. When something happens in an operatory and the anesthesia provider is found to have been outside the standards, the referring practice can find itself part of the conversation.

A compliant provider takes that exposure off the table.
Documented readiness, inspected and found compliant by the TMB, with the equipment and team that the rules actually require, is not a marketing distinction. It is what makes the referring practice's role defensible.

That is why dentists who do their due diligence ask the same questions.
Who administers the anesthesia. Whether a clinical care team is there. What equipment shows up. Who handles anesthesia clearance. Whether the provider has been inspected. The standards table above answers all five questions.
What we bring to every case.
Texas office-based anesthesia rules and ASA monitoring standards require specific equipment in any setting where anesthesia is delivered. Texan AA brings the complete setup to your operatory, every visit.
Anesthesia delivery:
- Full anesthesia machine
- Anesthetic agents and supporting medications
Monitoring:
- Full monitoring suite for vital signs throughout the case
- Recovery monitors for post-procedure observation
Emergency preparedness:
- Emergency supplies
- Emergency medications
Documentation:
- Anesthesia records prepared and maintained by the clinical care team
This is the setup the rules call for. It is what shows up to your office.
The team that meets the staffing standard.
Both the Texas Medical Board and the American Society of Anesthesiologists strongly advise that the anesthesiologist be assisted by additional clinical staff during office-based anesthesia. Every Texan AA case is physician-led with a clinical care team supporting the anesthesiologist.
The presence of that team is not a courtesy. It is the staffing standard the rules ask for. Documentation, monitoring, and recovery are handled by trained medical staff who are there to do those jobs, not by chairside dental assistants who already have one.
Due diligence answered.
If you are evaluating Texan AA as a partner, the conversation starts with Dr. Williams directly. He is the physician who will be in your office, and he is the one who answers questions about how we comply.
Clinical care team, every case
Inspected by the TMB