Healthcare Provider Details

I. General information

NPI: 1801712013
Provider Name (Legal Business Name): BRAZOS HEALTH PARTNERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/24/2026
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 SAND SAGE RD NW
LOS LUNAS NM
87031-4950
US

IV. Provider business mailing address

200 SAND SAGE RD NW
LOS LUNAS NM
87031-4950
US

V. Phone/Fax

Practice location:
  • Phone: 575-308-7682
  • Fax:
Mailing address:
  • Phone: 575-308-7682
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number
License Number State

VIII. Authorized Official

Name: TAMMIE HULETT
Title or Position: CEO
Credential:
Phone: 575-308-7682