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Organization

RICO AVIATION, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. RICHARD COON JR. (OWNER)
(806) 353-5563
Entity
Organization

Contact information

Practice address
2322 LAKEVIEW, AMARILLO, TX 79109
(806) 353-5563
Mailing address
2322 LAKEVIEW, AMARILLO, TX 79109

Taxonomy

Speciality
Code
Description
License number
State
3416A0800X
Air Ambulance
Primary
191009
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3465261
AETNA HMO
TX
01
528222
BCBS
TX
01
7129543
AETNA PPO/POS
TX
Enumeration date
07/13/2006
Last updated
08/22/2020
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