Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Aidan Goodreau, PA-C

Individual provider Physician Assistant · NPI 1316811508

Aidan Goodreau, PA-C is a Physician Assistant in Texarkana, Texas. Qualified in 2025, 1 year ago. Practices with Christus Trinity Clinic, a 1,531-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
1
Licensed in
TX
In the registry since
2025
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2604 Saint Michael Dr Ste 425
Texarkana, TX 75503-2378
Phone: (903) 614-5641
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA19604 (TX)

Record details

NPI number1316811508
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 1, 2025
Last updated in NPPESNovember 6, 2025
Certification dateNovember 6, 2025
Mailing address2604 Saint Michael Dr Ste 425, Texarkana, TX 75503-2378

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Christus Trinity Clinic — 1531 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Texarkana