| LCA CASE NUMBER | I-200-22088-019555 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2022-03-29 |
| DECISION DATE | 2022-04-05 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Physician |
| SOC CODE | 29-1063.00 |
| SOC TITLE | Internists, General |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2022-09-06 |
| END DATE | 2025-09-05 |
| 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 | Health Texas Provider Network |
| EMPLOYER ADDRESS1 | 301 N. Washington Avenue |
| EMPLOYER CITY | Dallas |
| EMPLOYER STATE | TX |
| EMPLOYER POSTAL CODE | 75246 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18172698851 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Johnson |
| EMPLOYER POC FIRST NAME | William |
| EMPLOYER POC JOB TITLE | Director of Operations |
| EMPLOYER POC ADDRESS1 | 301 N. Washington Avenue |
| EMPLOYER POC CITY | Dallas |
| EMPLOYER POC STATE | TX |
| EMPLOYER POC POSTAL CODE | 75246 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18172698851 |
| EMPLOYER POC EMAIL | william.johnson@bswhealth.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Plumlee |
| AGENT ATTORNEY FIRST NAME | Irina |
| AGENT ATTORNEY MIDDLE NAME | B. |
| AGENT ATTORNEY ADDRESS1 | 500 N. Akard Street |
| AGENT ATTORNEY ADDRESS2 | Suite 3800 |
| AGENT ATTORNEY CITY | Dallas |
| AGENT ATTORNEY STATE | TX |
| AGENT ATTORNEY POSTAL CODE | 75201 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12148557513 |
| AGENT ATTORNEY EMAIL ADDRESS | iplumlee@munsch.com |
| LAWFIRM NAME BUSINESS NAME | Munsch Hardt Kopf & Harr, P.C. |
| STATE OF HIGHEST COURT | TX |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 2460 North I-35 E. Road |
| WORKSITE ADDRESS2 | Suite 100 |
| LCA CASE WORKLOC1 CITY | Waxahachie |
| WORKSITE COUNTY | ELLIS |
| LCA CASE WORKLOC1 STATE | TX |
| WORKSITE POSTAL CODE | 75165 |
| LCA CASE WAGE RATE FROM | 180000 |
| LCA CASE WAGE RATE TO | 220000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 179878 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | III |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Le |
| PREPARER FIRST NAME | Uyen |
| PREPARER BUSINESS NAME | Munsch Hardt Kopf & Harr, P.C. |
| PREPARER EMAIL | kle@munsch.com |
