Individual provider · Type 1 NPI

Jesse M. Wickham, DO

Nephrology Physician · Jbsa Fort Sam Houston, TX

NPI number 1376602060 Active

Practice location

3551 Roger Brooke Dr
Jbsa Fort Sam Houston, TX 78234-4504

Fax (210) 916-3585

Other practice locations

  • 301 Fisher St, Keesler Medical Center, 81MDOS/SGOMK, Nephrology, Keesler Afb, MS 39534-2508 · (228) 376-5537

Specialties and licenses

TaxonomyCodeLicense
Nephrology Physician Primary 207RN0300X23573 (MS)
Nephrology Physician 207RN0300X02003331A (IN)

Nephrology Physician: An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

2,432 other providers at this address

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About NPI 1376602060

Jesse M. Wickham, DO's National Provider Identifier is 1376602060, issued on Dec 8, 2006. The primary taxonomy on file is Nephrology Physician (207RN0300X), and the practice location is in Jbsa Fort Sam Houston, TX. The record was last updated on Jun 18, 2026.