Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 204776 | LA |
N | 208600000X | Surgeon | 204776 | LA |
Y | 2086S0122X | Plastic and Reconstructive Surgery | 204776 | LA |
NPI | 1295995405 |
---|---|
Provider Name | Dr. Jeffrey Frederick Rau |
First Address | Houma, LA 70360-5595 |
Second Address | Houma, LA 70360-5595 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/06/2008 |
Last Update Date | 17/03/2018 |