Defense for Texas healthcare professionals facing the Medical Board and Board of Nursing.
Investigations, settlement conferences, and contested hearings — handled by an attorney whose background includes more than 1,000 contested administrative education hearings as lead counsel.
as lead counsel
litigation
TX · NY · NJ
Medical Center
Discretion is the practice.
Confidential from the first call
Everything you share with me is confidential — whether or not you retain me as your attorney.
Attorney-handled, start to finish
Your matter is handled by me — the attorney — from the first conversation through the hearing. It is never passed to staff you’ve never met.
A direct line, not a queue
When something changes in your matter, you reach the attorney handling it — not a call center or a rotating intake desk. Sensitive questions get a direct, discreet answer.
What you do before you respond shapes everything that follows.
From the first phone call, the investigator is building a record. The most consequential decisions are often made in the first few weeks — before most professionals think to involve counsel.
Who I represent
Physicians & Physician Assistants
Texas Medical Board investigations, informal settlement conferences, SOAH hearings, and appeals — from patient complaints and hospital reports to criminal charges and prescribing reviews.
Nurses — RN, LVN, APRN
Texas Board of Nursing matters involving medication errors, scope-of-practice questions, documentation and falsification allegations, criminal charges, and substance-use issues.
Pharmacists & Dentists
Texas State Board of Pharmacy and Dental Examiners proceedings — dispensing and controlled-substance issues, patient-care allegations, and practice violations.
Other licensed professionals
Physical and occupational therapists, chiropractors, psychologists, social workers, and the broader range of Texas-licensed healthcare professions.
Agencies negotiate differently with attorneys prepared to try the case.
I have served as lead counsel in more than 1,000 contested administrative education hearings — opening statements and closing arguments, sworn testimony, cross-examination, evidentiary disputes, and written submissions. A Medical Board or Board of Nursing contested case follows that same structure at SOAH, and that experience starts working from the first response, not the final hearing.
Flat fees, by phase
Each phase carries a fixed fee, set by profession and disclosed before you sign. If your matter resolves early, you never pay for the later phases.
APRN and prescribing-related matters are individually quoted. Appeals and judicial review under separate engagement. Exact figures confirmed in writing before any work begins.
What happens when you reach out
A confidential conversation
Reach out and tell me what happened. I’ll tell you where you stand — including if you don’t need a lawyer, or need a different one. The consultation is free either way.
A fixed fee, in writing
Before any work begins, you’ll know exactly what the phase costs and exactly what it covers. No evaporating retainer, no hourly meter running while you worry.
The board communicates with me
Once retained, I file notice of representation and agency contact runs through counsel. You return to your patients and your life; I run the process and keep you informed at every step.
What professionals ask first
What should I do if I receive an investigation letter?
Do not contact the investigator, send records, or submit a written response before speaking with a licensing defense attorney. Preserve all relevant records, document any contact you have already had, and treat the investigation seriously regardless of how minor the complaint seems. Early statements become part of the record and can affect the outcome.
Can I lose my license over a complaint?
Yes. Sanctions can range from a confidential resolution to public reprimand, fines, practice restrictions, probation, suspension, or revocation. The outcome depends on the allegations, the strength of the defense, and how the matter is handled from the first response forward.
How does the disciplinary process work?
Most matters proceed through an investigation, a written response, an informal settlement conference, and — if unresolved — a contested hearing before the State Office of Administrative Hearings. The judge issues a proposal for decision, the agency issues a final order, and that order may be challenged through judicial review.
Do I need a lawyer for a board investigation?
While not required, experienced counsel is strongly advised. These are adversarial proceedings in which the agency builds a record from your statements and submissions. An attorney can protect your interests from the first contact and is positioned to take a contested case to hearing if a fair resolution is not offered.
How much does defense cost?
Transparent phase-gated flat fees, set by profession and confirmed in writing before any work begins. For physicians and PAs, the investigation-response fee starts at $7,500, with each later phase individually fixed before it begins. For nurses, the investigation-response fee is $2,500–$6,000. An urgent letter review is available for $750, credited to your retainer if you engage within 14 days. You pay only for the stage your matter actually reaches.
Evan D’Amico
I built my career in complex litigation — including large-firm commercial litigation and real estate disputes — before serving as lead counsel in over 1,000 contested administrative education hearings. That volume of hearing-room experience is rare, and it is the foundation of how I defend a professional license.
D’Amico Law PLLC is based in Houston and serves the Texas Medical Center community and healthcare professionals throughout Texas.
Request a confidential consultation
Reach out today to discuss your next steps. Free and confidential.
Or email evan@evandamicolaw.com
D’Amico Law PLLC · Licensed in Texas, New York & New Jersey
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