| Doctor Name: | JESSE ZAITCHIK |
| NPI Number: | 1194052779 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | CPNP |
| License Number: | 774731 |
| Business Practice Address: | 1008 Rr 620 S Building 2 Lakeway, TX - 787345631 |
| Business Phone Number: | 5126107030 |
| Business Fax Number: | 5126107034 |
| Mailing Address: | 1008 Rr 620 S, 101 LAKEWAY |
| State: | TX |
| Postal Code: | 787345631 |
| Phone Number: | 5126107030 |
| Fax Number: | 5126107034 |
| NPI Enumeration Date: | 11/03/2009 |
| NPI Last Update Date: | 01/04/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | 774731 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |