| LCA CASE NUMBER | I-200-21089-185174 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-03-30 |
| DECISION DATE | 2021-04-06 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Internal Medicine Physician |
| SOC CODE | 29-1063.00 |
| SOC TITLE | Internists, General |
| FULL TIME POSITION | False |
| LCA CASE EMPLOYMENT START DATE | 2021-04-15 |
| END DATE | 2024-04-14 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 1 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Hendrick Provider Network |
| EMPLOYER ADDRESS1 | 1900 Pine Street |
| EMPLOYER CITY | Abilene |
| EMPLOYER STATE | TX |
| EMPLOYER POSTAL CODE | 79601 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 13256704351 |
| NAICS CODE | 62111 |
| EMPLOYER POC LAST NAME | Lee |
| EMPLOYER POC FIRST NAME | Rachel |
| EMPLOYER POC JOB TITLE | Physician Recruiter |
| EMPLOYER POC ADDRESS 1 | 1900 Pine Street |
| EMPLOYER POC CITY | Abilene |
| EMPLOYER POC STATE | TX |
| EMPLOYER POC POSTAL CODE | 79601 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 13256703275 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Church |
| AGENT ATTORNEY FIRST NAME | Mary |
| AGENT ATTORNEY MIDDLE NAME | Kathleen |
| AGENT ATTORNEY ADDRESS1 | 755 West Big Beaver Road |
| AGENT ATTORNEY ADDRESS2 | Suite 1100 |
| AGENT ATTORNEY CITY | Troy |
| AGENT ATTORNEY STATE | MI |
| AGENT ATTORNEY POSTAL CODE | 48084 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12485199900 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Ellis Porter PLC |
| STATE OF HIGHEST COURT | MI |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1850 Hickory Street |
| WORKSITE ADDRESS2 | Suite 200F |
| LCA CASE WORKLOC1 CITY | Abilene |
| WORKSITE COUNTY | TAYLOR |
| LCA CASE WORKLOC1 STATE | TX |
| WORKSITE POSTAL CODE | 79601 |
| LCA CASE WAGE RATE FROM | 101 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 100 |
| PW UNIT OF PAY | Hour |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
