| LCA CASE NUMBER | I-200-21228-523036 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-08-16 |
| DECISION DATE | 2021-08-23 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Dentist |
| SOC CODE | 29-1021.00 |
| SOC TITLE | Dentists, General |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-10-18 |
| END DATE | 2024-10-17 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Access Dental of Zarzamora, P.A. |
| TRADE NAME DBA | Medico M.D. |
| EMPLOYER ADDRESS1 | 7010 S. Zarzamora Street |
| EMPLOYER ADDRESS2 | Suite #113 |
| EMPLOYER CITY | San Antonio |
| EMPLOYER STATE | TX |
| EMPLOYER POSTAL CODE | 78224 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12109210603 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | Phan |
| EMPLOYER POC FIRST NAME | Tien |
| EMPLOYER POC MIDDLE NAME | Dinh |
| EMPLOYER POC JOB TITLE | Chief Executive Officer |
| EMPLOYER POC ADDRESS1 | 8150 Springwood Dr |
| EMPLOYER POC ADDRESS2 | Ste 150B |
| EMPLOYER POC CITY | Irving |
| EMPLOYER POC STATE | TX |
| EMPLOYER POC POSTAL CODE | 75063 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 19725141672 |
| EMPLOYER POC EMAIL | tien.phan@medicomdtx.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Badmus |
| AGENT ATTORNEY FIRST NAME | Ann |
| AGENT ATTORNEY MIDDLE NAME | Massey |
| AGENT ATTORNEY ADDRESS1 | 11325 Pegasus Street |
| AGENT ATTORNEY ADDRESS2 | #E-265 |
| AGENT ATTORNEY CITY | Dallas |
| AGENT ATTORNEY STATE | TX |
| AGENT ATTORNEY POSTAL CODE | 75238 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
|
| AGENT ATTORNEY PHONE | 12144948033 |
| AGENT ATTORNEY EMAIL ADDRESS | Ann.Badmus@badmuslaw.com |
| LAWFIRM NAME BUSINESS NAME | Ann Massey Badmus PC dba Badmus & Associates |
| STATE OF HIGHEST COURT | TX |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 7010 S. Zarzamora Street |
| WORKSITE ADDRESS2 | Suite #113 |
| LCA CASE WORKLOC1 CITY | San Antonio |
| WORKSITE COUNTY | BEXAR |
| LCA CASE WORKLOC1 STATE | TX |
| WORKSITE POSTAL CODE | 78224 |
| LCA CASE WAGE RATE FROM | 106.25 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 56.78 |
| 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 |
| H-1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Rodriguez-Story |
| PREPARER FIRST NAME | Celsa |
| PREPARER MIDDLE INITIAL | J |
| PREPARER BUSINESS NAME | Ann Massey Badmus PC dba Badmus & Associates |
| PREPARER EMAIL | celsa.story@badmuslaw.com |
