| LCA CASE NUMBER | I-200-19344-189835 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2019-12-10 |
| DECISION DATE | 2019-12-17 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Nurse Practitioner |
| SOC CODE | 29-1171.00 |
| SOC TITLE | Nurse Practitioners |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2019-12-27 |
| END DATE | 2022-12-26 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 1 |
| 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 | jwjwjwang@gmail.com |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Prebisch |
| AGENT ATTORNEY FIRST NAME | Maria Pia |
| AGENT ATTORNEY ADDRESS1 | 713 Ayers St. |
| AGENT ATTORNEY CITY | Corpus Christi |
| AGENT ATTORNEY STATE | TX |
| AGENT ATTORNEY POSTAL CODE | 78414 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13618838900.0 |
| AGENT ATTORNEY EMAIL ADDRESS | mariapia@debrarodriguez.com |
| LAWFIRM NAME BUSINESS NAME | Rodriguez & Moretzsohn, PLLC |
| STATE OF HIGHEST COURT | TX |
| NAME OF HIGHEST STATE COURT | Texas Supreme Court |
| WORKSITE WORKERS | 1.0 |
| SECONDARY ENTITY | N |
| 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 | 40.5 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 40.08 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 1.0 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
