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Verified by TX Board of Healthcare

EMT/Paramedic Licensing in Texas

Review current requirements, exam details, renewal cycle, and salary outlook for emt/paramedic in Texas, including See agency and board contact links.

Last verified: Feb 18, 2026

Current

Application Fee

See agency

Exam Requirement

Third-party exam required

Renewal Cycle

See board renewal rules

Licensing Blueprint for EMT/Paramedic in Texas

Estimated timeline: Varies by board

Core Requirements

  1. 1

    Education: Degree required.

  2. 2

    Experience: No experience required.

  3. 3

    Background/Criminal Review: Specific type of conviction prohibited.

  4. 4

    Physical Requirement: Physical exam required.

  5. 5

    License Type: Stand-alone license.

Exam and processing details

  • Third-party exam required

Application Snapshot

  1. Licensing Authority

    Texas Department of State Health Services

  2. Current Filing Fee

    See agency

  3. Renewal Cycle

    See board renewal rules

  4. Salary Position

    $53,960 median (8% below national)

  5. State Salary Rank

    #30 of 50 states

Step-by-Step Process (6)

  1. 1. Meet Texas eligibility requirements for EMT/Paramedic licensure.
  2. 2. Complete required education or training: Degree required.
  3. 3. Document required supervised experience: No experience required.
  4. 4. Pass required examination steps: Third-party exam required.
  5. 5. Prepare supporting documentation (background check: Specific type of conviction prohibited; Background/Criminal Review: Specific type of conviction prohibited.).
  6. 6. Submit the application to Texas Department of State Health Services and monitor board communications.

Salary Insights in Texas

With a median salary of $53,960, EMT/Paramedics in Texas earn 8% below the national median of $58,410. Texas ranks #30 among 50 states. The typical licensing timeline is Varies by board.

State Hiring Climate (QCEW)

Steady

QoQ Employment Change

+0.8%

Average Weekly Wage

$1,420

Median annual salary

$53,960

Hourly estimate

$25.94
8% below national median

Difference: -$4,450

Percentile Distribution

Annual compensation
  • P1010th percentile$39,120
  • P2525th percentile$46,820
  • P50Median$53,960
  • P7575th percentile$61,730
  • P9090th percentile$74,810

State vs National Median

State: $53,960
National: $58,410

Total employment: 8,560 | Annual openings: N/A

EMT/Paramedic Salary Ranking

#30 of 50 statesfor EMT/Paramedic median salary
RankStateMedian Salary
#1Washington$100,780
#2New Jersey$80,100
#3Connecticut$75,400
#4Oregon$73,380
#5California$72,180

Nearby States Comparison

EMT/Paramedic licensing across the region
StateMedian SalaryEducationExamTimeline
Texas$53,960Degree requiredThird-party exam requiredVaries by board
Oklahoma$47,890Specific course requiredThird-party exam requiredVaries by board
Arkansas$45,710Specific course requiredThird-party exam requiredVaries by board
Louisiana$50,800Specific course requiredThird-party exam requiredVaries by board
New Mexico$50,340Specific course requiredState exam requiredVaries by board

License by Endorsement

Transfer requirements are state-specific. Use this quick matrix as a planning signal, then verify final endorsement rules with each board.

StateReciprocity ScoreTierNotes
Texas54LowState-specific exam conditions may apply. Documented experience may be required.
Oklahoma50LowState-specific exam conditions may apply. Documented experience may be required.
Arkansas50LowState-specific exam conditions may apply. Documented experience may be required.
Louisiana50LowState-specific exam conditions may apply. Documented experience may be required.
New Mexico50LowState-specific exam conditions may apply. Documented experience may be required.
  • License status indicator: Active.
  • Reciprocity and transfer rules vary by state board. Verify directly with the agency.

Official Licensing Agency

Official website verified

Texas Department of State Health Services

PO Box 149347, Austin, TX, 78714-9347

Phone: 5127767111

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FAQ

How long does it take to become a EMT/Paramedic in Texas?

Most applicants finish the licensing path in about Varies by board, but timing can change based on education track, exam scheduling, and board processing.

What exams are required for EMT/Paramedics in Texas?

Texas lists Third-party exam required as part of the licensure process for EMT/Paramedics.

What education do you need to become a EMT/Paramedic in Texas?

The board typically expects Degree required for EMT/Paramedic licensure in Texas.

What is the typical EMT/Paramedic salary in Texas?

The median annual salary for EMT/Paramedics in Texas is $53,960. Salaries range from $39,120 (10th percentile) to $74,810 (90th percentile).

How does the EMT/Paramedic salary in Texas compare to the national average?

EMT/Paramedics in Texas earn 8% below the national median of $58,410, with a state median of $53,960.

How many EMT/Paramedics work in Texas?

Texas employs approximately 8,560 EMT/Paramedics according to BLS data.

Can I transfer my EMT/Paramedic license to Texas from another state?

Transfer requirements vary by board. License status indicator: Active. Reciprocity and transfer rules vary by state board. Verify directly with the agency.

Who is the licensing agency for EMT/Paramedics in Texas?

The licensing agency is Texas Department of State Health Services. Review agency details at https://dshs.texas.gov/.

How often do you renew a EMT/Paramedic license in Texas?

Current guidance indicates a renewal cycle of See board renewal rules.