| LCA CASE NUMBER | I-200-20344-947424 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-12-09 |
| DECISION DATE | 2020-12-16 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Pediatric Resident |
| SOC CODE | 29-1065.00 |
| SOC TITLE | Pediatricians, General |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-03-15 |
| END DATE | 2021-04-11 |
| 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 | DRISCOLL CHILDREN'S HOSPITAL |
| EMPLOYER ADDRESS1 | 3533 SOUTH ALAMEDA STREET |
| EMPLOYER CITY | CORPUS CHRISTI |
| EMPLOYER STATE | TX |
| EMPLOYER POSTAL CODE | 78411 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 13619042907 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | BAGGERMAN |
| EMPLOYER POC FIRST NAME | ERIC |
| EMPLOYER POC JOB TITLE | DIRECTOR OF MEDICAL EDUCATION |
| EMPLOYER POC ADDRESS 1 | 3533 SOUTH ALAMEDA STREET |
| EMPLOYER POC CITY | Corpus Christi |
| EMPLOYER POC STATE | TX |
| EMPLOYER POC POSTAL CODE | 78411 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 13619042907 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | NIKOVA |
| AGENT ATTORNEY FIRST NAME | NELLI |
| AGENT ATTORNEY ADDRESS1 | 79 Dartmouth Str. |
| AGENT ATTORNEY ADDRESS2 | Suite 3 |
| AGENT ATTORNEY CITY | Boston |
| AGENT ATTORNEY STATE | MA |
| AGENT ATTORNEY POSTAL CODE | 2116 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 18323567667 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Nelli Nikova PC |
| STATE OF HIGHEST COURT | TX |
| NAME OF HIGHEST STATE COURT | Texas Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | True |
| SECONDARY ENTITY BUSINESS NAME | University of Texas Medical Branch |
| WORKSITE ADDRESS1 | 301 University Blvd |
| LCA CASE WORKLOC1 CITY | Galveston |
| WORKSITE COUNTY | GALVESTON |
| LCA CASE WORKLOC1 STATE | TX |
| WORKSITE POSTAL CODE | 77555 |
| LCA CASE WAGE RATE FROM | 60600 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 55162 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| 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 |
