Individual
DR. ANDREA KRICHELLE BALTHAZAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1301 BARBARA JORDAN BLVD STE 302, AUSTIN, TX 78723-3078
(512) 324-3042
(512) 324-3059
Mailing address
1301 BARBARA JORDAN BLVD STE 302, AUSTIN, TX 78723-3078
(512) 324-3042
(512) 324-3059
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
283724
MA
208800000X
Urology Physician
U3781
TX
2088P0231X
Pediatric Urology Physician
Primary
U3781
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/20/2015
Last updated
02/15/2026
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