Texas Occupations Code - OCC § 203.402. Prohibited Representation

(1) except as provided by Section 203.403, use in connection with the midwife's name a title, abbreviation, or designation tending to imply that the midwife is a “registered” or “certified” midwife as opposed to one who is licensed under this chapter;

(2) advertise or represent that the midwife is a physician or a graduate of a medical school unless the midwife is licensed to practice medicine by the Texas Medical Board;

(3) use advertising or an identification statement that is false, misleading, or deceptive;  or

(4) except as authorized by rules adopted by the Texas Board of Nursing, use in combination with the term “midwife” the term “nurse” or another title, initial, or designation that implies that the midwife is licensed as a registered nurse or vocational nurse.