Individual provider · Type 1 NPI

Jonathan Eric Wickiser, MD

Pediatric Hematology & Oncology Physician · Dallas, TX

NPI number 1194740688 Active

Practice location

5323 Harry Hines Blvd
Dallas, TX 75390-7201

Call (214) 730-5437 Map

Mailing address

PO Box 845347
Dallas, TX 75284-5347

Specialties and licenses

TaxonomyCodeLicense
Pediatric Hematology & Oncology Physician Primary 2080P0207XM4653 (TX)
Pediatrics Physician 208000000XM4653 (TX)

Pediatric Hematology & Oncology Physician: A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.

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About NPI 1194740688

Jonathan Eric Wickiser, MD's National Provider Identifier is 1194740688, issued on Jul 13, 2006. The primary taxonomy on file is Pediatric Hematology & Oncology Physician (2080P0207X), and the practice location is in Dallas, TX. The record was last updated on Apr 24, 2012.