person
Dr. Johnny M Wilson, MD
Family Medicine Physician in Willow Park, Texas
NPI 1114910080

Johnny M Wilson is a Family Medicine Physician based in Willow Park, TX. Johnny M Wilson practices in Willow Park, TX and has the professional credentials of MD. The NPI Number for Johnny M Wilson is 1114910080 and holds a License No. L4177 (Texas).

The current practice location address for Johnny M Wilson is 136 El Chico Trl, Willow Park, TX and can be reached out via phone at 817-441-1441 and via fax at 817-441-1443.

Location: 136 El Chico Trl, Willow Park, TX, 76087-8863
person
Provider Profile Details
NPI Number
1114910080
Provider Name
Johnny M Wilson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
136 El Chico Trl, Willow Park, TX, 76087-8863
Phone Number
817-441-1441
Fax Number
817-441-1443
Provider Enumeration Date
08/25/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1164502 01 TX AFFILIATED HEALTHCARE
L4177 01 TX UNICARE
0072KC 01 TX BLUE CROSS BLUE SHIELD
0082174 01 TX BLUE LINK
1354278 01 TX FOCUS
7111148 01 TX AETNA/TRS COORDINATED CAR
158350203 05 TX
158350201 05 TX
WILJC67146 01 TX CHIP HEALTHPLAN
institution
Provider Business Practice Location Address Details
Address
136 El Chico Trl
City
State
Zip
76087-8863
Phone Number
817-441-1441
Fax Number
817-441-1443
person
Provider Business Mailing Address Details
Address
136 El Chico Trl
City
State
Zip
76087-8863
Phone Number
817-441-1441
Fax Number
817-441-1443
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
License No.
L4177 (Texas)
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.
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