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Carlos Luis Venegas, Conspiracy to Distribute Narcotics, Texas 2024

Carlos Luis Venegas, 62, is headed to federal prison for 13 years after being convicted of conspiracy to distribute narcotics in a sprawling Texas pill mill operation that funneled nearly a million units of Hydrocodone and Alprazolam onto the streets with zero medical justification. The sentence, handed down by U.S. District Judge David C. Godbey, marks the end of a swift but damning trial that exposed a criminal enterprise disguised as health care.

Venegas served as the supervising physician for a network of sham clinics designed solely to churn out prescriptions for cash. Prosecutors proved he oversaw a system where nurse practitioners and physician assistants conducted cursory, often fake, medical exams—no tests, no records, no real diagnosis. Patients, many homeless or indigent, were recruited by runners, coached to lie about symptoms, and shuttled through clinics like factory-line customers.

At trial, witnesses detailed how these so-called patients walked in and walked out with max-dose cocktails of Hydrocodone and Xanax, prescriptions signed off under Venegas’ authority. The clinics operated on volume: profit over patients, pills over principles. Medical files seized showed rubber-stamp approvals, blank symptom histories, and a complete disregard for federal drug laws.

U.S. Attorney Erin Nealy Cox didn’t mince words: “These pill mills help to perpetuate the tragic opioid crisis gripping our country. Last year, America lost, on average, 116 people per day to opioid overdoses. We cannot allow unscrupulous conduct by physicians to add to the supply of dangerous drugs on the streets.”

DEA Special Agent in Charge Clyde E. Shelley, Jr., of the Dallas Field Division, vowed continued crackdowns: “The DEA will continue to investigate these types clinics and health care personnel who are facilitating illegal distribution of prescription drugs. One overdose is one too many.”

Several co-conspirators have already been sentenced: Christan Michael Hicks – 70 months; Craig Zahn – 33 months; Leslie Rodriguez – 33 months; Don Broussard – 33 months; Ron Cunningham – 18 months. Clinic co-owners James Christopher Ware and Stanley James were hit with 135 and 97 months respectively in a separate indictment. The DEA led the investigation. Assistant U.S. Attorneys Myria Boehm, Renee Hunter, and Nicholas Bunch prosecuted the case.

RELATED: Port Orange Pill Mill Doctor Dietch Gets 11 Years

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