| LCA CASE NUMBER | I-200-21120-274182 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-04-30 |
| DECISION DATE | 2021-05-07 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Physician |
| SOC CODE | 29-1067.00 |
| SOC TITLE | Surgeons |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-10-01 |
| END DATE | 2024-09-30 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | HealthTexas Provider Network |
| EMPLOYER ADDRESS1 | 301 N. Washington Ave. |
| EMPLOYER CITY | Dallas |
| EMPLOYER STATE | TX |
| EMPLOYER POSTAL CODE | 75246 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12148652678 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Axton |
| EMPLOYER POC FIRST NAME | Michah |
| EMPLOYER POC JOB TITLE | VP Operations |
| EMPLOYER POC ADDRESS 1 | 301 N. Washington Ave. |
| EMPLOYER POC CITY | Dallas |
| EMPLOYER POC STATE | TX |
| EMPLOYER POC POSTAL CODE | 75246 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12148652678 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Smart |
| AGENT ATTORNEY FIRST NAME | John |
| AGENT ATTORNEY MIDDLE NAME | D |
| AGENT ATTORNEY ADDRESS1 | 2323 Ross Ave. |
| AGENT ATTORNEY ADDRESS2 | Ste. 1900 |
| AGENT ATTORNEY CITY | Dallas |
| AGENT ATTORNEY STATE | TX |
| AGENT ATTORNEY POSTAL CODE | 75201 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12147401400 |
| AGENT ATTORNEY PHONE EXT | 1475 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Bell Nunnally & Martin LLP |
|
| STATE OF HIGHEST COURT | TX |
| NAME OF HIGHEST STATE COURT | Texas Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 3410 Worth Street |
| WORKSITE ADDRESS2 | Ste. 950 |
| LCA CASE WORKLOC1 CITY | Dallas |
| WORKSITE COUNTY | DALLAS |
| LCA CASE WORKLOC1 STATE | TX |
| WORKSITE POSTAL CODE | 75246 |
| LCA CASE WAGE RATE FROM | 380000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 208000 |
| PW UNIT OF PAY | Year |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | S. Roman |
| PREPARER FIRST NAME | Natalie |
| PREPARER MIDDLE INITIAL | F. |
| PREPARER BUSINESS NAME | Bell Nunnally & Martin LLP |
| PREPARER EMAIL | [email protected] |
