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Uvalde Diagnostic Clinic

Surgery in Uvalde, TX. Organization (NPI-2).

NPI number1104948645
StatusActive
Last updated in NPPESOct 29, 2012

Details

NPI
1104948645
Entity type
Organization (NPI-2)
Legal business name
Uvalde Diagnostic Clinic
Organization subpart
No
Enumeration date
Apr 4, 2007
Last updated
Oct 29, 2012

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208600000X SurgeryG1011TXYes
208D00000X General PracticeG1011TX

Practice location

101 Jolley St
Uvalde, TX 78801-4815

Phone 830-278-4568

Mailing address

101 Jolley St
Uvalde, TX 78801-4815

Authorized official

Gajanan V Gaitonde
President
8302784568

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Surgery Physician providers in Uvalde, TX

All 7 Surgery Physician providers in Uvalde · All 337 providers in Uvalde

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