{"npi":"1386264182","type":"NPI-1","status":"active","name":{"display":"Tavisty Baillio D.O.","other":[{"code":"1","type":"Formerly known as","value":"TARKENTON, TAVISTY KAY"}],"first":"TAVISTY","last":"BAILLIO","middle":"KAY","credential":"D.O."},"specialty":{"primary_taxonomy":"207P00000X","primary_taxonomy_description":"Emergency Medicine","slug":"emergency-medicine","schema_org_specialty":"Emergency","all":[{"code":"390200000X","description":"Student in an Organized Health Care Education/Training Program","primary":false,"state":"TX","license":null},{"code":"207P00000X","description":"Emergency Medicine","primary":true,"state":"TX","license":"T6728"}]},"addresses":[{"purpose":"LOCATION","street_1":"4502 MEDICAL DR","city":"SAN ANTONIO","state":"TX","postal_code":"782294492","country_code":"US","phone":"2103584000"},{"purpose":"MAILING","street_1":"4308 DIAZ AVE","city":"FORT WORTH","state":"TX","postal_code":"761076315","country_code":"US"}],"license":{"state":"TX","number":"T6728"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20220511000377","type_code":"14-93","type_desc":"PRACTITIONER - EMERGENCY MEDICINE","state":"TX","pac_id":"6002293107"}]},"enumeration_date":"2020-04-21","last_updated":"2023-02-23","_meta":{"source":"NPPES","snapshot_date":"2023-02-23","doc_url":"https://findmynpi.com/api"}}