OrganizationActive
Stephen L Wilson MD PA
NPI 1669653499 · Specialist · Fort Worth, TX
Provider details
- NPI number
- 1669653499
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Priscilla Porras, Administrator(817) 870-1035
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
1015 S Henderson St
Fort Worth, TX 76104-2924
Phone: (817) 870-1035
Fax: (817) 332-5005
Street-level locationGet directions
Mailing address
1015 S Henderson St
Fort Worth, TX 76104-2924
Other names (DBA / former)
- Doing business as
- Western Medical Center
Registry dates
- Enumerated
- 2007-11-20
- Last updated
- 2008-02-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.