Provider Demographics
NPI:1407917149
Name:UVALDE BONE & JOINT CLINIC P.A.
Entity Type:Organization
Organization Name:UVALDE BONE & JOINT CLINIC P.A.
Other - Org Name:TRINITY ORTHOPAEDICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:GLORIA
Authorized Official - Middle Name:G
Authorized Official - Last Name:BOX
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:830-703-1733
Mailing Address - Street 1:PO BOX 421389
Mailing Address - Street 2:
Mailing Address - City:DEL RIO
Mailing Address - State:TX
Mailing Address - Zip Code:78842-1389
Mailing Address - Country:US
Mailing Address - Phone:830-703-1733
Mailing Address - Fax:830-775-7230
Practice Address - Street 1:801 BEDELL AVENUE
Practice Address - Street 2:
Practice Address - City:DEL RIO
Practice Address - State:TX
Practice Address - Zip Code:78840-3713
Practice Address - Country:US
Practice Address - Phone:830-703-1733
Practice Address - Fax:830-703-1733
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-13
Last Update Date:2010-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty