Urologist deemed ‘threat to public welfare’ after allegedly using cocaine during surgery, ‘impaired’ during prostate biopsy

Nathan Starke suspended for alleged cocaine use

Background: Houston Methodist hospital where Nathan Starke was formerly employed (Google Maps). Inset: Nathan Starke (Harris County Sheriff’s Office).

A Texas doctor was accused of using drugs while performing delicate surgery on his patients — and even though his license was suspended, he could still get it back.

Nathan Starke, 39, was a urologist at Houston Methodist hospital in Houston, Texas, when he was suspected of using drugs during surgery. According to the Texas Medical Board, Starke “participated in several surgeries in August and September of 2024 while appearing impaired.” He was suspended on Sept. 6 and ordered to undergo drug testing. In October, he tested positive for cocaine.

However, the accusations against Starke were not limited to his medical practice — he also has a rap sheet.

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