Healthcare Provider Details

I. General information

NPI: 1053246033
Provider Name (Legal Business Name): FORGED WELLNESS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/12/2026
Last Update Date: 10/04/2026
Certification Date: 10/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1701 DEERWOOD LN
PROSPER TX
75078-7107
US

IV. Provider business mailing address

605 N PRESTON RD SUITE 200 PMB 3023
GUNTER TX
75058-4706
US

V. Phone/Fax

Practice location:
  • Phone: 469-529-0910
  • Fax: 214-778-5562
Mailing address:
  • Phone: 469-529-0910
  • Fax: 214-778-5562

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number StateNULL

VIII. Authorized Official

Name: JASON SENG
Title or Position: OWNER
Credential: MSN, APRN, FNP-C
Phone: 469-529-0910