| LCA CASE NUMBER | I-200-21067-127569 |
| STATUS | Certified - Withdrawn |
| LCA CASE SUBMIT | 2021-03-08 |
| DECISION DATE | 2022-03-01 |
| ORIGINAL CERT DATE | 2021-03-15 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Pediatric Hospitalist |
| SOC CODE | 29-1065.00 |
| SOC TITLE | Pediatricians, General |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-07-30 |
| END DATE | 2024-07-29 |
| 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 | Scott & White Clinic |
| TRADE NAME DBA | Baylor Scott & White Health |
| EMPLOYER ADDRESS1 | 2401 S. 31st Street |
| EMPLOYER CITY | Temple |
| EMPLOYER STATE | TX |
| EMPLOYER POSTAL CODE | 76508 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12148204988 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Hubbard |
| EMPLOYER POC FIRST NAME | Patricia |
| EMPLOYER POC JOB TITLE | Assistant General Counsel |
| EMPLOYER POC ADDRESS1 | 301 N. Washington Ave |
| EMPLOYER POC CITY | Dallas |
| EMPLOYER POC STATE | TX |
| EMPLOYER POC POSTAL CODE | 75246 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12148204988 |
| EMPLOYER POC EMAIL | Patricia.Hubbard@BSWHealth.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Trevena |
| AGENT ATTORNEY FIRST NAME | Matt |
| AGENT ATTORNEY MIDDLE NAME | L. |
| AGENT ATTORNEY ADDRESS1 | 1711 Rio Grande Street |
| AGENT ATTORNEY CITY | Austin |
| AGENT ATTORNEY STATE | TX |
| AGENT ATTORNEY POSTAL CODE | 78701 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 15124761959 |
| AGENT ATTORNEY EMAIL ADDRESS | MattTrevena@immigrationlawfirm.com |
| LAWFIRM NAME BUSINESS NAME | The Law Firm of Matt Trevena |
|
| STATE OF HIGHEST COURT | TX |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 300 University Blvd |
| LCA CASE WORKLOC1 CITY | Round Rock |
| WORKSITE COUNTY | WILLIAMSON |
| LCA CASE WORKLOC1 STATE | TX |
| WORKSITE POSTAL CODE | 78665 |
| LCA CASE WAGE RATE FROM | 100.09 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 55.8 |
| PW UNIT OF PAY | Hour |
| 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 |
