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Individual
DR. ALEXIS VICTORIA MAIELLA
Active
Individual
DR. ALEXIS VICTORIA MAIELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
V3638
TX
390200000X
Student in an Organized Health Care Education/Training Program
BP20090567
TX
Other
Enumeration date
04/28/2021
Last updated
03/12/2025
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