How to Get a Paramedic License in Texas
Last updated: March 2, 2026
Texas is one of the largest and most active real estate markets in the country, making it an excellent place to start a career as a paramedic. Licensing in Texas is overseen by the Texas Department of State Health Services - EMS Certification Program. The process requires 170 hours of pre-license education and costs between $1,500 and $2,500 in total. You'll need to pass the NREMT (administered by Texas Department of State Health Services - EMS Certification Program) with a score of at least 70%.
At 170 hours, Texas has one of the higher pre-license education requirements in the country. This is close to the national average of 170 hours. Budget between $1,500 and $2,500 for the total licensing process, including education, application, and exam fees. Most aspiring paramedics complete the entire process in 4-7 months, depending on how quickly they move through the coursework and exam preparation.
Texas Paramedic License Requirements
| Requirement | Details |
|---|---|
| Minimum Age | 18 years old |
| Pre-License Education | 170 hours |
| Degree Required | No |
| Exam Required | Yes — NREMT |
| Passing Score | 70% |
| Background Check | Yes |
| Broker Sponsorship | Not required |
| Application Fee | $80 |
| Exam Fee | $80 |
| Governing Body | Texas Department of State Health Services - EMS Certification Program |
| License Reciprocity | Partial |
Reciprocity:
Steps to Get Your Paramedic License in Texas
- 1
Complete an EMT Training Program
Enroll in and complete an approved EMT-Basic training program (170 hours). Programs are offered at community colleges, fire academies, and EMS training centers.
Time: 3-6 months Cost: $350 - 2
Obtain CPR/BLS Certification
Get certified in CPR for Healthcare Providers (BLS) through the American Heart Association or equivalent organization. This is required before taking the NREMT exam.
Time: 1 day Cost: $75 - 3
Pass the NREMT Examination
Register and pass the National Registry of Emergency Medical Technicians (NREMT) cognitive and psychomotor exams. The exam fee is $80.
Time: 2-4 weeks to schedule Cost: $80 - 4
Apply for State Certification
Submit your application to the Texas Department of State Health Services - EMS Certification Program. Include NREMT certification, CPR card, and the application fee of $80.
Time: 2-4 weeks Cost: $80 - 5
Begin Working as an EMT
Once certified, you can work as an EMT in Texas with ambulance services, fire departments, hospitals, or event medical teams.
Time: Immediate once certified
Key Things to Know
- Education requirement: . Many providers offer online options, giving you flexibility to study on your own schedule.
- The licensing exam: The NREMT is administered by Texas Department of State Health Services - EMS Certification Program. You'll need to score at least 70% to pass. Study materials and practice exams are available from most education providers.
- Background check required: Texas requires a criminal background check as part of the application process. Plan for additional processing time and fees.
- Online application available: Texas accepts online applications, which can speed up processing time.
- Ongoing requirements: Once licensed, you'll need 72 hours of continuing education every 4 years. .
How Texas Compares
Texas requires 170 hours of pre-license education for paramedics. This is close to the national average of 170 hours. The average total cost in Texas is around $2,000, compared to the national average of $1,778. Texas's 4-year renewal cycle is longer than the national average of 2.3 years.
How Much Does a Paramedic License Cost in Texas?
| Cost Item | Estimated Range |
|---|---|
| Pre-License Education | $300 - $700 |
| Application Fee | $80 |
| Exam Fee | $80 |
| Total Estimated Cost | $1,500 - $2,500 |
License Renewal
- Renewal Period: Every 4 years
- Continuing Education: 72 hours
- CE Details:
- Renewal Fee: $80
Tips for Success
- Choose your education provider carefully: Compare prices, format (online vs. in-person), and reviews. Some providers offer exam prep materials bundled with the course, which can save you money. Check the Texas Department of State Health Services - EMS Certification Program website for a list of approved providers.
- Don't rush the exam: With 170 hours of required coursework, consider a structured schedule — completing one course at a time helps avoid burnout. Use practice exams to identify weak areas before scheduling your test date.
- Look for free or subsidized training: Many fire departments and volunteer EMS agencies offer free EMT training in exchange for a service commitment. Community college programs are typically $1,000-$2,000 — much cheaper than private training centers.
- Use NREMT practice tests religiously: The NREMT cognitive exam uses computer adaptive testing. Focus on airway management, cardiac emergencies, and trauma. EMTprep and Pocket Prep apps are excellent study tools. Most successful candidates complete 500+ practice questions.
- Budget approximately $2,500 for your Texas license: This includes $80 in application fees, $80 for the exam, and education costs. Once licensed, plan for $80 in renewal fees every 4 years.
Frequently Asked Questions
How long does it take to get a paramedic license in Texas?
Most people complete the process in 3-6 months total. The pre-license education (170 hours) takes the longest. After completing education, the exam and application process typically adds 2-6 weeks.
How much does it cost to get a paramedic license in Texas?
The total cost ranges from $1,500 to $2,500, including pre-license education, the application fee ($80), and the exam fee ($80).
Can I get a Texas paramedic license with a criminal record?
The Texas Department of State Health Services - EMS Certification Program evaluates criminal history on a case-by-case basis. Having a criminal record does not automatically disqualify you, but certain offenses may affect your eligibility. Contact the Texas Department of State Health Services - EMS Certification Program for guidance before applying.
Do I need a college degree to become a paramedic in Texas?
No. Texas does not require a college degree. You only need to complete the 170 hours of approved pre-license courses.
Can I take the pre-license courses online in Texas?
Many approved education providers offer pre-license courses online, allowing you to study at your own pace. Check the Texas Department of State Health Services - EMS Certification Program website for a list of approved providers.
Sources
- Official website: Texas Department of State Health Services - EMS Certification Program