Paramedic in Texas

Requirements, salary data, licensing costs, and career ROI for TX

Median Salary
$37,000
Texas (2024)
National Median
$41,340
All states
License Fees
$295
Exam + application
Time to Complete
Varies (typically 1-2 years for education, plus application processing time)
From start to licensed

How to Become a Paramedic in Texas

To become a licensed Paramedic in Texas, individuals must be at least 18 years old, possess a high school diploma or GED, and successfully complete a DSHS-approved Paramedic program. Additionally, applicants for licensure must hold an associate degree in emergency medical services or a baccalaureate degree in any field. After completing the educational requirements, candidates must pass the National Registry Paramedic cognitive and psychomotor exams, undergo a Texas/FBI criminal history check, and submit an application with a $120 fee to the Texas Department of State Health Services, EMS & Trauma Systems. Texas offers reciprocity for out-of-state paramedics who meet specific criteria, including educational and examination requirements, and completion of a Texas jurisprudence exam.

Paramedic Requirements in Texas

DetailTexas
Licensing BodyTexas Department of State Health Services, EMS & Trauma Systems
State License Required Yes
EducationState-approved Paramedic program AND an associate degree in EMS or a baccalaureate degree in any field.
Exam NREMT Paramedic (Cognitive and Psychomotor) ($175)
Application Fee$120
RenewalEvery 4.0 years
Continuing Education144.0 hours per cycle
NotesMinimum age 18. Requires a high school diploma or GED. Must pass a Texas/FBI criminal history check (fingerprinting required). The NREMT cognitive exam fee is $175.00. Psychomotor exam fees vary by location, with some sites charging around $250-$350. There are two levels for Paramedics in Texas: EMT-Paramedic certification (no degree required) and Paramedic Licensure (requires an associate degree in EMS or a four-year degree in any field). All renewal applicants must complete a Texas EMS jurisprudence examination.

Source: Texas Department of State Health Services, EMS & Trauma Systems

Paramedic Salary in Texas

The median paramedic salary in Texas is $37,000 per year, which is 10.5% below the national median of $41,340.

PercentileAnnual Salary
10th (entry level)$29,200
25th$33,070
50th (median)$37,000
75th$44,940
90th (experienced)$52,170

Texas employs approximately 13,550 paramedics.

Paramedic Job Outlook

10-Year Growth
+5.1%
Faster than average
Annual Openings
14.1
Nationwide per year
Total Employment
181
Nationwide

Is Becoming a Paramedic in Texas Worth It?

Factors to consider: Texas's cost of living, the state licensing requirement, strong job growth, and your personal career goals.

Frequently Asked Questions

How do you get certified as a paramedic in Texas?
To become a paramedic in Texas, you need to complete the required education (State-approved Paramedic program AND an associate degree in EMS or a baccalaureate degree in any field.), pass the NREMT Paramedic (Cognitive and Psychomotor), and submit your application ($120 fee).
Do I need a license to work as a paramedic in Texas?
You cannot practice as a paramedic in Texas without a state license from Texas Department of State Health Services, EMS & Trauma Systems. The required exam is the NREMT Paramedic (Cognitive and Psychomotor).
What do paramedics earn in Texas?
The median paramedic salary in Texas is $37,000 per year. — 10% under the $41,340 national average. New paramedics start around $29,200; seasoned professionals can reach $52,170.
How expensive is paramedic licensing in Texas?
Costs include exam fee ($175) and application fee ($120). The estimated total investment is varies, including education and training.
How long does it take to become a paramedic in Texas?
The typical timeline in Texas is Varies (typically 1-2 years for education, plus application processing time). This includes completing education, gaining any required experience, and passing the licensing exam.
Does Texas require continuing education for paramedics?
License renewal in Texas requires completing 144.0 hours of continuing education on a 4.0-year cycle.

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