Jesse M Wickham in Jbsa Ft Sam Houston - Nephrology
Jesse M Wickham - NPI 1376602060
Jesse M Wickham is a Nephrology in Jbsa Ft Sam Houston, Texas. Jesse M Wickham practices all healthcare services and medical treatments related to Nephrology. The NPI Number for Jesse M Wickham is 1376602060. The last update date is 2018-03-17.
Jesse M Wickham's current location address is 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, Texas. You can contact this provider via phone number 2109167408 and fax number 2109163585. The mailing address for Jesse M Wickham is 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jesse M Wickham |
|---|---|
| Address | 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, Texas |
| Phone Number | 2109167408 |
| Fax Number | 2109163585 |
| Sole Proprietor | Y |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1376602060 |
|---|---|
| Provider Enumeration Date | 2006-12-08 |
| Last Updated Date | 2018-03-17 |
Provider Mailing Address Detail
| Address | 3551 Roger Brooke Dr |
|---|---|
| City | Jbsa Ft Sam Houston |
| State | Texas (TX) |
| Post Code | 782344504 |
| Phone Number | 2109167408 |
| Fax Number | 2109163585 |
Provider's Primary Taxonomy Detail
| Speciality | Nephrology |
|---|---|
| Taxonomy | 207Rn0300X |
| Licence No | 02003331A |
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Definition: 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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What is the Jesse M Wickham's 1376602060?
The Jesse M Wickham's NPI (National Provider Identifier) Number is 1376602060. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Jesse M Wickham's physical address?
The Jesse M Wickham is physically located at 3551 Roger Brooke Dr, in the city of Jbsa Ft Sam Houston, TX, with the postal code 782344504.
What is Jesse M Wickham's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jesse M Wickham is Nephrology, and the corresponding taxonomy classification code for this specialized field is 207Rn0300X.
When was the Jesse M Wickham's 1376602060 issued?
The Jesse M Wickham's 1376602060 was issued on 2006-12-08.
When was the information pertaining to Jesse M Wickham most recently updated or revised?
The details related to Jesse M Wickham, including its address, specialty, and other relevant information, were last updated or revised on 2018-03-17.