Provider Demographics
NPI:1932697232
Name:ROON PLLC
Entity Type:Organization
Organization Name:ROON PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:DANIEL
Authorized Official - Last Name:NICHOLSON
Authorized Official - Suffix:IV
Authorized Official - Credentials:MD
Authorized Official - Phone:972-494-3100
Mailing Address - Street 1:5000 LEGACY DR STE 200
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75024-3373
Mailing Address - Country:US
Mailing Address - Phone:469-800-5824
Mailing Address - Fax:972-608-0005
Practice Address - Street 1:5000 LEGACY DR STE 200
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75024-3373
Practice Address - Country:US
Practice Address - Phone:972-494-3100
Practice Address - Fax:972-608-0033
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-23
Last Update Date:2023-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty