| LCA CASE NUMBER | I-200-20114-513216 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-04-23 |
| DECISION DATE | 2020-04-30 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Physician |
| SOC CODE | 29-1063.00 |
| SOC TITLE | Internists, General |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-07-01 |
| END DATE | 2023-06-30 |
| 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 | PPG Health, P.A. |
| EMPLOYER ADDRESS1 | 1000 West Cannon St |
| EMPLOYER CITY | Fort Worth |
| EMPLOYER STATE | TX |
| EMPLOYER POSTAL CODE | 76104 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18177257900 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | Jordan |
| EMPLOYER POC FIRST NAME | Jo |
| EMPLOYER POC JOB TITLE | Senior HR Director |
| EMPLOYER POC ADDRESS1 | 1000 West Cannon St |
| EMPLOYER POC CITY | Fort Worth |
| EMPLOYER POC STATE | TX |
| EMPLOYER POC POSTAL CODE | 76104 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18177257900 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Badmus |
| AGENT ATTORNEY FIRST NAME | Ann |
| AGENT ATTORNEY MIDDLE NAME | Massey |
| AGENT ATTORNEY ADDRESS1 | 11325 Pegasus Street |
| AGENT ATTORNEY ADDRESS2 | #E-265 |
| AGENT ATTORNEY CITY | Dallas |
| AGENT ATTORNEY STATE | TX |
| AGENT ATTORNEY POSTAL CODE | 75238 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12144948033.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Ann Massey Badmus PC dba Badmus & Associates |
| STATE OF HIGHEST COURT | TX |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 605 Northwest Parkway |
| WORKSITE ADDRESS2 | Ste. 2 |
| LCA CASE WORKLOC1 CITY | Azle |
| WORKSITE COUNTY | PARKER |
| LCA CASE WORKLOC1 STATE | TX |
| WORKSITE POSTAL CODE | 76020 |
| LCA CASE WAGE RATE FROM | 180000.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 55370.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Rodriguez-Story |
| PREPARER FIRST NAME | Celsa |
| PREPARER MIDDLE INITIAL | J |
| PREPARER BUSINESS NAME | Ann Massey Badmus PC dba Badmus & Associates |
| PREPARER EMAIL | [email protected] |
