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DR. JOHNNY M WILSON M.D.
NPI 1114910080
Family Medicine in Willow Park, TX

Active since August 25, 2005
136 EL CHICO TRL, SUITE 103, WILLOW PARK, TX 76087(817) 441-1441(817) 441-1443 Get Directions Write a Review

NPPES record last updated: March 29, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Johnny M Wilson M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JOHNNY M WILSON M.D. (NPI 1114910080) is an individual family medicine provider in Willow Park, Texas, licensed in Texas (L4177) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1114910080
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JOHNNY M WILSONCredential: M.D.
Location Address136 EL CHICO TRL, SUITE 103Willow Park, TX 76087-8863
Mailing Address136 El Chico Trl, Suite 103Willow Park, TX 76087-8863 · (817) 441-1441 · Fax (817) 441-1443
Phone(817) 441-1441
Fax(817) 441-1443
Sole ProprietorNo
Enumeration DateAugust 25, 2005
Last NPPES UpdateMarch 29, 2010
✔ NPI 1114910080 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · L4177
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
136 EL CHICO TRL, Willow Park, TX 76087
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Other Identifiers 12

OtherL4177TX · Unicare
Other0082174TX · Blue Link
Medicare PIN8L23343TX
OtherWILJC67146TX · Chip Healthplan
Medicare UPINC67146TX
Other0072KCTX · Blue Cross Blue Shield
Other7111148TX · Aetna/trs Coordinated Car
Other1164502TX · Affiliated Healthcare
Other1354278TX · Focus
Medicaid158350201TX
Medicaid158350203TX
Medicare PIN00769HTX

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SPERRY BINNICKER
Nurse Practitioner (Primary Care)
136 EL CHICO TRL, STE 102
WILLOW PARK, TX 76087
Parker County (817) 441-5412
JULIA BETH TALBOYS FNP-C
Nurse Practitioner (Family)
136 EL CHICO TRL, STE 102
WILLOW PARK, TX 76087
Parker County (817) 441-5412
TEXAS GRINS FAMILY DENTISTRY, PA
Durable Medical Equipment & Medical Supplies (Customized Equipment)
136 EL CHICO TRL, SUITE 101
WILLOW PARK, TX 76087
Parker County (817) 441-3232
DEVONA MARTIN M.D.
Pediatrics
136 EL CHICO TRL, STE 102
WILLOW PARK, TX 76087
Parker County (817) 441-5412

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Johnny Wilson's NPI number?

The NPI number for Johnny Wilson is 1114910080. It was assigned to this individual provider in the NPPES registry on August 25, 2005.

Where is Johnny Wilson located?

Johnny Wilson practices at 136 El Chico Trl Suite 103, Willow Park, TX 76087. The listed phone number is (817) 441-1441.

What is Johnny Wilson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Johnny Wilson was last updated on March 29, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.