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
| Taxonomy | Code | License |
|---|---|---|
| Nephrology Physician Primary | 207RN0300X | 23573 (MS) |
| Nephrology Physician | 207RN0300X | 02003331A (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.
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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.