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What You Need to Know. You can complete certificate, associate's degree and bachelor's degree training to work as a paramedic through 2- and 4-year public schools in Texas. Certificate programs take less than two years while associate's and bachelor's degrees take 2 and 4 years, respectively.
In Texas the hourly pay tends to be better, but most of the private services here in San Antonio work 12 hour shifts and not 24's, so not as much overtime. Our military civilian paramedics make about $22 an hour on base to start.