DR. JOHNNY WILSON, M.D.

Family Medicine

Active Individual
NPI: 1114910080

Practice Address

136 EL CHICO TRL
SUITE 103
Willow Park, TX 76087

Phone: (817) 441-1441

Specialties

Specialty Code Primary License
Family Medicine 207Q00000X Yes L4177 (TX)

Frequently Asked Questions

NPI 1114910080 is the National Provider Identifier for DR. JOHNNY WILSON, M.D., a Family Medicine provider located in Willow Park, TX. This NPI was enumerated on August 25, 2005.
DR. JOHNNY WILSON, M.D. practices at 136 EL CHICO TRL, SUITE 103, Willow Park, TX 76087.

Quick Facts

NPI
1114910080
Type
Individual
Enumerated
Aug 25, 2005
Last Updated
Mar 29, 2010

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