| LCA CASE NUMBER | I-200-21266-603290 |
| STATUS | Certified - Withdrawn |
| LCA CASE SUBMIT | 2021-09-23 |
| DECISION DATE | 2021-12-07 |
| ORIGINAL CERT DATE | 2021-09-30 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Family Medicine Physician |
| SOC CODE | 29-1062.00 |
| SOC TITLE | Family and General Practitioners |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-09-27 |
| END DATE | 2024-09-26 |
| 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 | KELSEY-SEYBOLD MEDICAL GROUP, PLLC |
| TRADE NAME DBA | KELSEY-SEYBOLD CLINIC |
| EMPLOYER ADDRESS1 | 11511 SHADOW CREEK PARKWAY |
| EMPLOYER CITY | PEARLAND |
| EMPLOYER STATE | TX |
| EMPLOYER POSTAL CODE | 77584 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17134425315 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | VOLLMERS |
| EMPLOYER POC FIRST NAME | CRAIG |
| EMPLOYER POC JOB TITLE | VICE PRESIDENT, HUMAN RESOURCES |
| EMPLOYER POC ADDRESS1 | 11511 SHADOW CREEK PARKWAY |
| EMPLOYER POC CITY | PEARLAND |
| EMPLOYER POC STATE | TX |
| EMPLOYER POC POSTAL CODE | 77584 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17134225315 |
| EMPLOYER POC EMAIL | CRAIG.VOLLMERS@KELSEY-SEYBOLD.COM |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | THOMPSON |
| AGENT ATTORNEY FIRST NAME | MATTHEW |
| AGENT ATTORNEY MIDDLE NAME | G. |
| AGENT ATTORNEY ADDRESS1 | 5444 WESTHEIMER ROAD |
| AGENT ATTORNEY ADDRESS2 | SUITE 1700 |
| AGENT ATTORNEY CITY | HOUSTON |
| AGENT ATTORNEY STATE | TX |
| AGENT ATTORNEY POSTAL CODE | 77056 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 17136259200 |
| AGENT ATTORNEY EMAIL ADDRESS | MTHOMPSON@QUANLAW.COM |
|
| LAWFIRM NAME BUSINESS NAME | QUAN LAW GROUP, PLLC |
| STATE OF HIGHEST COURT | TX |
| NAME OF HIGHEST STATE COURT | SUPREME COURT OF TEXAS |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 6300 Garth Road |
| WORKSITE ADDRESS2 | Suite 200 |
| LCA CASE WORKLOC1 CITY | Baytown |
| WORKSITE COUNTY | HARRIS |
| LCA CASE WORKLOC1 STATE | TX |
| WORKSITE POSTAL CODE | 77521 |
| LCA CASE WAGE RATE FROM | 157000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 116147 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 10 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
