Individual provider Active NPI

McPearl Hortillosa Logan, RNFA

  • Registered Nurse First Assistant
  • Tyler, TX
National Provider Identifier
1134006901
Registry record updated Dec 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered Nurse First AssistantTaxonomy code 163WR0006X
License
---- Issued in TX
Practice address
909 Ese Loop323 Ste 777
Tyler, TX 75701-9675
Phone
(903) 606-8888
Fax
(903) 606-8887
NPI assigned
Aug 21, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse First Assistant 163WR0006X ---- TX Primary

Addresses

Primary practice location

909 Ese Loop323 Ste 777
Tyler, TX 75701-9675

Mailing address

909 Ese Loop323 Ste 777
Tyler, TX 75701-9675
Phone (903) 606-8888

Other names 1

  • McPearl Hortillosa Temporal Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
----TXMDRegistered Nurse First Assistant

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1755734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766534400000",
    "number": "1134006901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 ESE LOOP323 STE 777",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757019675",
            "telephone_number": "903-606-8888",
            "fax_number": "903-606-8887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 ESE LOOP323 STE 777",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757019675",
            "telephone_number": "903-606-8888",
            "fax_number": "903-606-8887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOGAN",
        "first_name": "MCPEARL",
        "middle_name": "HORTILLOSA",
        "name_prefix": "Mrs.",
        "credential": "RNFA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-21",
        "last_updated": "2025-12-24",
        "certification_date": "2025-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "TX",
            "license": "----",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MCPEARL",
            "last_name": "TEMPORAL",
            "middle_name": "HORTILLOSA",
            "credential": "RNFA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tyler, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.