Tavisty Kay Baillio, DO

Emergency medicine physician in Willow Park, Texas · NPI 1386264182

Tavisty Baillio is one of 4 emergency medicine physicians practicing in Willow Park, Texas. See all emergency medicine physicians in Texas. Tavisty Baillio practices with Texas Medicine Resources, LLP.

Registry record (NPPES)

NPI
1386264182
Type
Type 1 · Individual
Primary taxonomy
Emergency Medicine · 207P00000X
Address on file
4502 Medical Dr
San Antonio, TX 78229-4492
(210) 358-4000
Enumerated
Apr 21, 2020
Record last updated
Feb 23, 2023
License states listed
TX

Medicare (CMS)

Enrollment
Medicare-enrolled in TX
Emergency Medicine
Revalidation due
No date set by CMS

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Practice locations

More emergency medicine physicians in Willow Park

Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.