Healthcare Provider Details
I. General information
NPI: 1629982343
Provider Name (Legal Business Name): ONLINEIOP TX LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/30/2026
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5900 BALCONES DR STE 100
AUSTIN TX
78731-4298
US
IV. Provider business mailing address
5 PARK PLZ STE 1520
IRVINE CA
92614-2566
US
V. Phone/Fax
- Phone: 949-933-6412
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251S00000X |
| Taxonomy | Community/Behavioral Health Agency |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name:
JACK
BIEHL
Title or Position: CEO
Credential:
Phone: 949-933-6412