How to Become a Emergency Medical Technician in Texas
In Texas, a EMT license typically requires a state exam, and a $104 exam fee.
Provides emergency medical care and transport. Requires a state-approved course and the NREMT cognitive and psychomotor exams. Requirements change — always confirm with Texas Department of State Health Services — EMS/Trauma Systems before paying.
Licensing steps in Texas
- 1Meet the basic requirements
Minimum age 18; a criminal background check is required.
- 2Complete pre-license education
Required training hours are not published here — check with the state board for the current figure.
- 3Register and pass the exam
The exam is administered by Pearson VUE (NREMT).
- 4Pay fees and get licensed
Exam fee $104 · application $64
- 5Stay current
License renews every 4 years with 72 hours of continuing education.
EMT requirements — Texas at a glance
| Education hours | — |
| Exam vendor | Pearson VUE (NREMT) |
| Questions (national/state) | — / — |
| Passing score | — |
| Exam fee | $104 |
| Application fee | $64 |
| License fee | — |
| First-attempt pass rate | not published |
| Retake rule | — |
| Renewal | every 4 years · 72 CE |
| Reciprocity | Yes — DSHS reciprocity / NREMT registration recognized |
Official source: Texas Department of State Health Services — EMS/Trauma Systems ↗
Frequently asked questions
How long does it take to get a EMT license in Texas?
After completing the required education, most candidates need 4-12 weeks of study before the exam. Total timeline depends on scheduling.
How hard is the EMT exam in Texas?
Official first-attempt pass rates are not published by Texas; check the state board.
What does the EMT license cost in Texas?
The exam fee is $104, the application fee is $64
Can I transfer my EMT license to Texas?
Reciprocity: Yes — DSHS reciprocity / NREMT registration recognized.
Plan your EMT licensing in Texas
This guide is informational and not legal advice. Requirements change frequently — verify all figures with Texas Department of State Health Services — EMS/Trauma Systems (retrieved 2026-08-20).