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NPI Code Detail

MEDICARE: SUPARNA BARUA DNP

MEDICARE:   SUPARNA  BARUA  DNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner1039134TX

General Provider Information

NPI Number : 1073481271
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUPARNA BARUA DNP
Provider Business Mailing Address
First Line : 9010 BRODIE LN UNIT 200
Second Line :
City : AUSTIN
State : TX
Zip : 78748-5184
Country : US
Telephone Number : 512-994-4159
Fax Number :
Provider Business Practice Location Address
First Line : 9010 BRODIE LN UNIT 200
Second Line :
City : AUSTIN
State : TX
Zip : 78748-5184
Country : US
Telephone Number : 512-994-4159
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/28/2025
Last Update Date : 03/02/2026

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