<?xml version="1.0"?>
<ownershipDocument>

    <schemaVersion>X0203</schemaVersion>

    <documentType>3</documentType>

    <periodOfReport>2010-02-01</periodOfReport>

    <noSecuritiesOwned>0</noSecuritiesOwned>

    <issuer>
        <issuerCik>0000737561</issuerCik>
        <issuerName>UCI MEDICAL AFFILIATES INC</issuerName>
        <issuerTradingSymbol>UCIA</issuerTradingSymbol>
    </issuer>

    <reportingOwner>
        <reportingOwnerId>
            <rptOwnerCik>0001483607</rptOwnerCik>
            <rptOwnerName>Shpiz Andrew</rptOwnerName>
        </reportingOwnerId>
        <reportingOwnerAddress>
            <rptOwnerStreet1>50 BROAD STREET, SUITE 1820</rptOwnerStreet1>
            <rptOwnerStreet2></rptOwnerStreet2>
            <rptOwnerCity>NEW YORK,</rptOwnerCity>
            <rptOwnerState>NY</rptOwnerState>
            <rptOwnerZipCode>10004</rptOwnerZipCode>
            <rptOwnerStateDescription></rptOwnerStateDescription>
        </reportingOwnerAddress>
        <reportingOwnerRelationship>
            <isDirector>0</isDirector>
            <isOfficer>0</isOfficer>
            <isTenPercentOwner>1</isTenPercentOwner>
            <isOther>0</isOther>
        </reportingOwnerRelationship>
    </reportingOwner>

    <nonDerivativeTable>
        <nonDerivativeHolding>
            <securityTitle>
                <value>Common Stock</value>
            </securityTitle>
            <postTransactionAmounts>
                <sharesOwnedFollowingTransaction>
                    <value>1323357</value>
                    <footnoteId id="F1"/>
                    <footnoteId id="F2"/>
                </sharesOwnedFollowingTransaction>
            </postTransactionAmounts>
            <ownershipNature>
                <directOrIndirectOwnership>
                    <value>I</value>
                </directOrIndirectOwnership>
                <natureOfOwnership>
                    <value>See footnote</value>
                    <footnoteId id="F1"/>
                    <footnoteId id="F2"/>
                </natureOfOwnership>
            </ownershipNature>
        </nonDerivativeHolding>
    </nonDerivativeTable>

    <footnotes>
        <footnote id="F1">The shares of Common Stock reported herein as indirectly beneficially owned by Andrew Shpiz (the &quot;Master Fund Shares&quot;) are
 directly owned by Bandera Master Fund L.P., a Cayman Islands exempted limited partnership (&quot;Bandera Master Fund&quot;). Bandera
 Partners LLC is the investment manager of Bandera Master Fund and may be deemed to have beneficial ownership of the Master
 Fund Shares by virtue of the sole and exclusive authority granted to Bandera Partners LLC by Bandera Master Fund to vote and
 dispose of the Master Fund Shares.  Mr. Shpiz joined Bandera Partners LLC as a Managing Partner, Managing Director and
 Portfolio Manager effective on February 1, 2010. Mr. Shpiz may be deemed to have beneficial ownership of the Master Fund
 Shares in his capacity as Managing Partner, Managing Director and Portfolio Manager of Bandera Partners LLC. (Continued in
 footnote 2)</footnote>
        <footnote id="F2">Indirect beneficial ownership of the Master Fund Shares has not been allocated to Mr. Shpiz on a proportional basis. Mr.
 Shpiz disclaims beneficial ownership of the Master Fund Shares except to the extent of his pecuniary interest therein
 pursuant to Rule 16a-1(a)(2).</footnote>
    </footnotes>

    <ownerSignature>
        <signatureName>/s/ Andrew Shpiz</signatureName>
        <signatureDate>2010-02-11</signatureDate>
    </ownerSignature>
</ownershipDocument>
