Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Johnny M Wilson, MD

Individual provider Family Medicine Physician · NPI 1114910080

Dr. Johnny M Wilson, MD is a Family Medicine Physician in Willow Park, Texas. Licensed in Texas. Registered with an NPI since 2005.

Licensed in
TX
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

136 El Chico Trl Ste 103
Willow Park, TX 76087-8863
Phone: (817) 441-1441
Fax: (817) 441-1443
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence L4177 (TX)

Record details

NPI number1114910080
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 25, 2005
Last updated in NPPESMarch 29, 2010
Mailing address136 El Chico Trl, Suite 103, Willow Park, TX 76087-8863

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