This term may be defined by including words such as "duly qualified physician" or "duly licensed physician." The use of such terms requires an insurer to recognize and to accept to the extent of its obligation under the contract all providers of medical care and treatment when such services are within the scope of the providers' licensed authority and are provided pursuant to applicable laws. This definition may not be construed so as to be in conflict with Insurance Code § 1451.001.
28 Tex. Admin. Code § 3.3010