DR. Johnny M Wilson, M.D.
NPI #1114910080 in Willow Park, Texas
Provider Information
- NPI Number
- 1114910080
- Entity Type
- Individual
- Name
- DR. Johnny M Wilson, M.D.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Family Medicine
- Credential
- M.D.
- Enumeration Date
- Aug 25, 2005
- Last Updated
- Mar 29, 2010
Practice Location
- Address
- 136 EL CHICO TRL
- Address 2
- SUITE 103
- City
- Willow Park
- State
- Texas
- ZIP Code
- 76087-8863
- Phone
- (817) 441-1441
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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