Paramedic / Texas
2026 data Texas board official source

Texas Paramedic License Requirements

What the state board actually requires: fees, renewal cycle, and requirements from official records.

Provides advanced emergency medical care in the field.

What the Texas data shows for Paramedics

Texas sets the entry bar for paramedics at 1,622 training hours and a passing score on NREMT Paramedic Exam. A background check is a standard part of the process, and applicants must be 18 or older. The credential is administered under Texas's licensing regime, which classifies the training track as "Paramedic Training Program".

Upfront cost is $155, with renewal running $129 on a 2-year cycle. Renewal isn't the end of the cost: 72 hours of continuing education are due every 2-year cycle, a recurring time commitment worth planning for.

For paramedics, the reciprocity picture is: Interstate EMS Compact: 30+ states.

Licensing Requirements in Texas

Education / Training Hours
Paramedic Training Program
1,622 hours
Exam Requirement
NREMT Paramedic Exam
Required
Initial License Fee
$155
Renewal Fee
$129
Renewal Cycle
Every 2 years
Continuing Education
72 hrs/cycle
Criminal History Check
Required
Minimum Age
18 years
Data sources: NCSL Occupational Licensing Database, Institute for Justice, state licensing boards. Verify current requirements with Texas licensing authorities before making career decisions.

Frequently Asked Questions

What license do I need for Paramedic in Texas?
Texas's requirements cover 1622 hours of education or training, the NREMT Paramedic Exam exam, and an initial fee of $155. Applicants also go through a criminal background check.
How do I get certified as a Paramedic in Texas?
To become a licensed paramedic in Texas, you must meet the state's requirements including 1622 hours of education. You must also pass the required examination. Contact the Texas licensing board to verify current requirements.
Can I transfer my Paramedic license to Texas from another state?
For paramedics, the reciprocity landscape looks like this: Interstate EMS Compact: 30+ states. Many professions are also covered by interstate licensing compacts that facilitate portability between states. Contact the Texas licensing board to confirm how it applies to your specific credential.
Does Texas require a background check for Paramedic licensing?
Texas does require a background check before issuing a paramedic license. What counts as disqualifying, and how it's reviewed, is up to the state licensing board.
What are the continuing education requirements for Paramedic in Texas?
Licensed paramedics in Texas must complete 72 hours of continuing education every 2 years. The renewal fee is $129.

Source: NCSL Occupational Licensing Database, Institute for Justice License to Work (3rd Ed.), state licensing board websites NCSL Occupational Licensing Database, Institute for Justice License to Work (3rd Ed.), state licensing board websites