Individual provider · Type 1 NPI

Alexis Victoria Maiella, DO

Sports Medicine (Family Medicine) Physician · San Antonio, TX

NPI number 1194308171 Active

Practice location

1422 E Grayson St Ste 102
San Antonio, TX 78208-1430

Mailing address

400 Concord Plaza Dr Ste 300
San Antonio, TX 78216-6991

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XBP20090567 (TX)
Sports Medicine (Family Medicine) Physician Primary 207QS0010XV3638 (TX)

Sports Medicine (Family Medicine) Physician: A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomecha…

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About NPI 1194308171

Alexis Victoria Maiella, DO's National Provider Identifier is 1194308171, issued on Apr 28, 2021. The primary taxonomy on file is Sports Medicine (Family Medicine) Physician (207QS0010X), and the practice location is in San Antonio, TX. The record was last updated on Oct 26, 2026.