Texas Respiratory Therapist Licensing Guide
License Snapshot
Processing Time
8-10 weeks
From complete application
Application Fee
$120
Renewal: $104
Credential
NBRC
Required national certification
CE Required
24 hours
Every 2 years
Overview
Texas does not participate in an interstate compact for respiratory therapy. Travelers must obtain an individual Texas license through the endorsement process before practicing in the state, regardless of what licenses they hold elsewhere.
Endorsement Process
Texas uses an online portal endorsement process for respiratory therapists already licensed in another state. You'll need to submit your completed application along with supporting documents and the $120 application fee.
- Submit endorsement application via Texas board portal
- Request license verification from current state (via NBRC or direct) (can run concurrently)
- Complete any state-specific requirements (background check, etc.) (can run concurrently)
- Await board review and license issuance
License verification is handled through NBRC or direct board verification. Texas requires verification from every state where you hold or have held a respiratory therapist license, so request verification early to avoid delays.
Background check requirements vary by applicant — confirm the current fingerprinting and screening steps with the Texas Medical Board — Respiratory Care Practitioner Program (Texas Board of Respiratory Care). Where fingerprinting applies, submit your authorization as early as possible, since background check processing is one of the most common sources of delay.
After all components are received, the Board reviews applications on a rolling basis. Check the Texas Medical Board — Respiratory Care Practitioner Program (Texas Board of Respiratory Care) website for status updates on your application.
Fees
| Fee | Amount |
|---|---|
| Endorsement Application | $120 |
| Renewal | $104 (every 2 years) |
Travelers should factor these licensing costs into their assignment budgeting. Many staffing agencies, including Fusion Medical Staffing, offer licensure reimbursement programs to help offset these expenses.
Temporary License
Texas does not issue temporary respiratory therapy licenses. Your permanent license must be fully issued before you can begin working on assignment. Travelers should plan their start dates accordingly and allow the full processing window before their expected first day.
Processing Time
Texas respiratory therapist endorsement applications typically take 8-10 weeks; 15 business days to verify application and potentially issue temporary license to process. The timeline is subject to moderate variability depending on the completeness of your application and external factors.
In the best-case scenario, processing can be as fast as 6 weeks (if application complete, fingerprinting scheduled immediately, jurisprudence exam passed first attempt, and no professionalism flags).
Common sources of delay:
- TMB requires jurisprudence exam completion before final licensure; exam scheduling can add 2-4 weeks to processing timeline
- Board review and approval process occurs after application verification is complete; applications reviewed in batches, no guaranteed timeline disclosed
- Fingerprinting via IDEMIA can delay timeline if applicant does not submit 6-digit code promptly or has scheduling conflicts with fingerprinting centers
- Professionalism questions answered 'yes' trigger extended board review; each affirmative response can add 1-3 weeks to processing
- License verification from previous state (NBRC or direct board contact) may take 2-3 weeks depending on responsiveness of issuing state
Texas does not offer an expedited processing track. The best way to minimize your wait time is to ensure all application components — fingerprints, verification, and any required exams — are completed before or immediately after submitting your application.
Continuing Education
Texas requires 24 contact hours of continuing education every 2 years for respiratory therapist license renewal.
- Traveler tip: Keep all CE documentation organized and easily accessible — Texas may audit compliance at any time
Renewal Process
- Renewal cycle: Every 2 years — $104
- Renewal timing: Biennial registration; licensees expire twice a year on May 31st OR November 30th depending on assigned cycle. No grace period — penalty fee equal to one-half registration fee added immediately upon expiration; doubles to full registration fee after 90 days; auto-cancelled after 1 year expired.
- Renewal window: Opens online registration opens 60-90 days prior to expiration date; reminder postcards mailed at least 60 days in advance
- Late penalty: 1/2 registration fee penalty immediately at expiration, and full registration fee penalty after 90 days, and auto-cancellation after 1 year
- Traveler tip: Track your Texas license expiration date carefully — a lapsed license can disrupt active assignments
Official Resources
Texas Medical Board — Respiratory Care Practitioner Program (Texas Board of Respiratory Care)
Board Website·Application Portal·License Verification
Phone: 512-305-7030
Email: [email protected]
Frequently Asked Questions
Last verified: April 15, 2026. Please note that while Fusion Medical Staffing strives to provide the most current and accurate information, we cannot guarantee the completeness or timeliness of the information provided. Requirements and processes can change frequently. Healthcare professionals are strongly encouraged to verify details directly with Texas Medical Board — Respiratory Care Practitioner Program (Texas Board of Respiratory Care)'s official website.
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Breathe in through your nose, hold, and exhale through your mouth. Repeat at least twice a day, as needed.
