Individual provider · Type 1 NPI

Johnny M. Wilson, MD

Family Medicine Physician · Willow Park, TX

NPI number 1114910080 Active

About NPI 1114910080

Johnny M. Wilson, MD's National Provider Identifier is 1114910080, issued on Aug 25, 2005. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Willow Park, TX. The record was last updated on Mar 29, 2010.