Individual
DR. ALEXIS VICTORIA MAIELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
9849 KENWORTHY ST, EL PASO, TX 79924-4402
(210) 283-6990
Mailing address
5648 VALLEY OAK DR, EL PASO, TX 79932-4318
(915) 346-7726
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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