| LCA CASE NUMBER | I-200-18155-489157 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 6/4/18 |
| DECISION DATE | 6/8/18 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 10/1/18 |
| EMPLOYMENT END DATE | 9/30/21 |
| LCA CASE EMPLOYER NAME | STEPHENS MEMORIAL HOSPITAL DISTRICT |
| EMPLOYER BUSINESS DBA | STEPHENS MEMORIAL HOSPITAL |
| EMPLOYER ADDRESS | 200 S. GENEVA ST. |
| EMPLOYER CITY | BRECKENRIDGE |
| EMPLOYER STATE | TX |
| EMPLOYER POSTAL CODE | 76424 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 2545592241 |
| EMPLOYER PHONE EXT | 200 |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY NAME | BUZGOVA, VIERA |
| AGENT ATTORNEY CITY | AUSTIN |
| AGENT ATTORNEY STATE | TX |
| LCA CASE JOB TITLE | FAMILY MEDICINE PHYSICIAN |
| SOC CODE | 29-1062 |
| SOC NAME | FAMILY AND GENERAL PRACTITIONERS |
| NAICS CODE | 622110 |
| TOTAL WORKERS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMP | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| FULL TIME POSITION | Y |
| PREVAILING WAGE | 72,051.00 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | Level I |
| PW SOURCE | OES |
| PW SOURCE YEAR | 2018 |
| PW SOURCE OTHER | OFLC ONLINE DATA CENTER |
| LCA CASE WAGE RATE FROM | 220,000.00 |
| LCA CASE WAGE RATE TO | 0.00 |
| LCA CASE WAGE RATE UNIT | Year |
| H1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| SUPPORT H1B | NA |
| LCA CASE WORKLOC1 CITY | BRECKENRIDGE |
| WORKSITE COUNTY | STEPHENS |
| LCA CASE WORKLOC1 STATE | TX |
| WORKSITE POSTAL CODE | 76424 |
