Montgomery County doctors charged in connection with prescribing controlled substances

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The Montgomery County District Attorney’s Office in October 2018 received federal grant funding from the Bureau of Justice Assistance in order to investigate and prosecute prescription drug diversion in the county.

As part of the project, the Montgomery County District Attorney’s Office began to compile data on overdose deaths, overdose hospitalizations and other reports from the Department of Public Safety to identify concerning medical practices.

Four doctors were identified. On June 26, 2019 search warrants were executed at their offices and medical and other records were seized. After additional investigations, charges were brought against all four of those doctors, according to the District Attorney’s Office.

Dr. Miguel Flores has been charged with one count of committing unprofessional or dishonorable conduct by allegedly prescribing to a person who Flores knew or should have known was an abuser of controlled substances and one count for prescribing without a valid medical purpose. His office is located in Conroe. The DA’S Office said these counts are related to one overdose death.

Dr. Fadi Ghanem was charged with three counts of committing unprofessional or dishonorable conduct by allegedly prescribing to a person who Ghanem knew or should have known was an abuser of controlled substances and three counts of prescribing without a valid medical purpose. His office is in the Woodlands. The DA’S Office said these counts are related to three overdose deaths.

Dr.  Hussamaddin Al-Khadour was charged with one count of operating a pain management clinic for allegedly not being properly registered and one count for writing a false or fictitious prescription. His office is located in Shenandoah.

Dr. Emad Bishai was charged with four counts of committing unprofessional or dishonorable conduct by allegedly prescribing to a person who Bishai knew or should have known was an abuser of controlled substances and four counts of prescribing without a valid medical purpose. His office is located in the Woodlands. The DA’s Office said these counts are related to four overdose deaths.

Dr. Bishai has also been charged with improperly delegating professional medical responsibility that stems from his practice of pre-signing Schedule II prescription forms.

The DA’s Office said Bishai’s office building has also been seized by the Montgomery County District Attorney’s Office in a civil asset forfeiture suit for allegedly being used in the commission of or acquired with proceeds from engaging in organized criminal activity, various violations of the Texas Health and Safety Code and insurance fraud.

Montgomery County District Attorney’s Office Investigator Joe Nichols has been leading the investigation of all four doctors. Many other Montgomery County law enforcement agencies have participated in the investigation of these doctors, including the Montgomery County Sheriff’s Office, Conroe Police Department, Shenandoah Police Department and Montgomery Count Precinct One Constable’s.

The District Attorney’s Office is actively looking for any information related to these particular doctors or other doctors who may be involved in similar practices. 

“The excessive prescribing of highly addictive controlled substances has been major fuel added to the fire of the opioid epidemic our nation faces,” said Assistant District Attorney Tamara Holland. “The Montgomery County District Attorney’s Office is committed to doing whatever it can to address this deadly, criminal conduct.”

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