Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JESSE M WICKHAM, D.O.
Active Sole ProprietorDR. JESSE M WICKHAM, D.O. is a Nephrology healthcare provider located in JBSA FT SAM HOUSTON, Texas. NPI 1376602060 is currently active in the NPPES registry. Verify at CMS.
Nephrology · JBSA FT SAM HOUSTON, TX
Registration Details
- NPI Number
- 1376602060
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 8, 2006 (19.712987204982 yrs)
- Last Updated
- Apr 30, 2025
- Licenses
-
02003331A (IN)23573 (MS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3551 ROGER BROOKE DRJBSA FT SAM HOUSTON, TX, 782344504Browse TX providers · Browse ZIP 78234
- Phone
- 2109167408
- Fax
- 2109163585
- Primary Specialty
-
Nephrology
207RN0300X
- Additional Specialty
- Nephrology
Other Nephrology Providers in JBSA FT SAM HOUSTON, TX
| Name | Credential | NPI |
|---|---|---|
| MAI THANH-THUY NGUYEN | M.D. | 1396752747 |
| DR. TARRA FAULK | DO | 1467765370 |
| BRIAN CHRISTOPHER Y'BARBO | M.D. | 1376803635 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.