Ok, first, semantics ... it is most likely you have a "certification" from the state, and are "registered" by the NREMT. You most likely do not have a license. In the Commonwealth of PA, only Doctors and Nurses are Licensed, all others are certified. Paramedics and PHRN's are "permantly recognized" while EMT's must renew every 3 years. EMT-P's and PHRN's however must earn 18 con-ed credits a year to maintain their medical command, per the state, otherwise they can only function as EMT's (but their cert's will never expire) Really confusing.
I belive that in texas they have another level of provider, the "LP" or Licensed Paramedic. They can possibly preform mor skills and procedures than a "regualr" paramedic, and appear to be similar in concept to the "Advanced Practice Paramedic" talked about in the first draft of the National Scope of Practice model.
Jon
PS:
TTLWHKR - not trying to be a smart-a** here, but PA requries Basics to have 12 "medical/trauma" credits... 12 of the 24 hours must be actually about injuries and illness, while the other 12 can be in that catagory or not, it doesen't matter... EVOC is in the "other" catagory, while PHTLS/BTLS is in the medical /trauma catagory