MEDICARE: WORLDWIDE SELECT INVESTMENT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	347C00000X	Private Vehicle

General Provider Information

NPI Number	:	1356181143
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WORLDWIDE SELECT INVESTMENT

Provider Business Mailing Address
First Line	:	7424 LAZY SPUR BLVD
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76131-5229
Country	:	US
Telephone Number	:	817-323-9992
Fax Number	:

Provider Business Practice Location Address
First Line	:	7424 LAZY SPUR BLVD
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76131-5229
Country	:	US
Telephone Number	:	817-323-9992
Fax Number	:

Authorized Official
Title or Position	:	GENERAL MANAGER
Name	:	MR. MAZIN DABLOUK
Credential	:
Telephone Number	:	817-323-9992

Provider Enumeration Date	:	05/29/2024
Last Update Date	:	05/29/2024

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Directions to “WORLDWIDE SELECT INVESTMENT ” Practice Location

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