| LCA CASE NUMBER | I-200-22119-120531 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2022-04-29 |
| DECISION DATE | 2022-05-06 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Pediatric Nurse Practitioner |
| SOC CODE | 29-1171.00 |
| SOC TITLE | Nurse Practitioners |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2022-10-01 |
| END DATE | 2025-09-30 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Fairway Pediatrics PLLC |
| EMPLOYER ADDRESS1 | 4100 Fairway Dr. |
| EMPLOYER ADDRESS2 | Suite 300 |
| EMPLOYER CITY | Carrollton |
| EMPLOYER STATE | TX |
| EMPLOYER POSTAL CODE | 75010 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 19724928880 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | Wang |
| EMPLOYER POC FIRST NAME | Jian |
| EMPLOYER POC JOB TITLE | Managing Member |
| EMPLOYER POC ADDRESS1 | 4100 Fairway Dr. |
| EMPLOYER POC ADDRESS2 | Suite 300 |
| EMPLOYER POC CITY | Carrollton |
| EMPLOYER POC STATE | TX |
| EMPLOYER POC POSTAL CODE | 75010 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 19724928880 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Prebisch |
| AGENT ATTORNEY FIRST NAME | Maria PIa |
| AGENT ATTORNEY ADDRESS1 | 710 N. Mesquite St. |
| AGENT ATTORNEY CITY | Corpus Christi |
| AGENT ATTORNEY STATE | TX |
| AGENT ATTORNEY POSTAL CODE | 78401 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13612553133 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Prebisch Law Firm, PLLC |
| STATE OF HIGHEST COURT | TX |
| NAME OF HIGHEST STATE COURT | Texas Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 4100 Fairway Dr. |
| WORKSITE ADDRESS2 | Suite 300 |
| LCA CASE WORKLOC1 CITY | Carrollton |
| WORKSITE COUNTY | DENTON |
| LCA CASE WORKLOC1 STATE | TX |
| WORKSITE POSTAL CODE | 75010 |
| LCA CASE WAGE RATE FROM | 48.5 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 48.45 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
