Healthcare Provider Details

I. General information

NPI: 1013522986
Provider Name (Legal Business Name): ORGAN PEAK SURGERY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/09/2020
Last Update Date: 12/04/2025
Certification Date: 12/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

141 N ROADRUNNER PKWY STE 220
LAS CRUCES NM
88011-2001
US

IV. Provider business mailing address

141 N ROADRUNNER PKWY STE 121
LAS CRUCES NM
88011-2000
US

V. Phone/Fax

Practice location:
  • Phone: 713-314-7296
  • Fax:
Mailing address:
  • Phone: 575-800-7392
  • Fax: 575-522-4932

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State

VIII. Authorized Official

Name: STEPHEN PAUL STAMPP
Title or Position: SURGEON
Credential:
Phone: 575-800-7392