Texas Paramedic License Requirements

To practice as a paramedic in Texas, the state licensing board requires 1,622 documented education or training hours, a passing score on the NREMT Paramedic Exam examination. A criminal history background check is also part of the application. Applicants must be at least 18 years old. The regulation sits under Texas's professional licensing framework, which classifies training as "Paramedic Training Program".

Upfront cost is $155, with renewal running $129 on a 2-year cycle. Maintaining the license requires 72 hours of continuing education per 2-year cycle, an ongoing cost applicants often underestimate when budgeting the career.

Reciprocity is available: Interstate EMS Compact: 30+ states. Compared to the profession-wide pattern, the numbers above should be cross-checked against other states before relocating — licensing cost, training hours, and exam requirements vary enough that a different state may cut thousands of dollars and months of training from the path. The state board, not this page, is the final authority; verify every field below with the official regulator before you pay fees or enroll in training.