IndividualActive
Johnny Wilson, M.D.
NPI 1114910080 · Family Medicine Physician · Willow Park, TX
Johnny Wilson, M.D. is a Family Medicine Physician provider in Willow Park, TX (NPI 1114910080).
Provider details
- NPI number
- 1114910080
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- L4177 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
136 El Chico Trl
Suite 103
Willow Park, TX 76087-8863
Phone: (817) 441-1441
Fax: (817) 441-1443
Street-level locationGet directions
Mailing address
136 El Chico Trl
Willow Park, TX 76087-8863
Registry dates
- Enumerated
- 2005-08-25
- Last updated
- 2010-03-29
Frequently asked questions
- What is Johnny Wilson's NPI number?
- Johnny Wilson's National Provider Identifier (NPI) is 1114910080, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Johnny Wilson's specialty?
- Johnny Wilson is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Johnny Wilson located?
- Johnny Wilson's practice location on file with NPPES is 136 El Chico Trl, Willow Park, TX 76087-8863.
- What is Johnny Wilson's phone number?
- The practice phone number listed in the NPPES registry for Johnny Wilson is (817) 441-1441.
- Is Johnny Wilson's NPI active?
- Yes — Johnny Wilson's NPI (1114910080) is active in the NPPES registry as of the last update on 2010-03-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.