Individual
MASON WADE RAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2647 S SAINT ELIZABETH BLVD STE 219, GONZALES, LA 70737-5020
(225) 647-8511
(225) 644-8358
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(225) 647-8511
(225) 644-8358
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
330991
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2494970
—
LA
Enumeration date
03/18/2019
Last updated
03/13/2026
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