\ H1B CASE NUMBER I-200-25136-986671



CASE NUNBER: I-200-25136-986671

LCA CASE NUMBERI-200-25136-986671
STATUSCertified
LCA CASE SUBMIT2025-05-16
DECISION DATE2025-05-23
VISA CLASSH-1B
LCA CASE JOB TITLEMD/DO - Family Medicine Physician
SOC CODE29-1215
SOC TITLEFamily Medicine Physicians
FULL TIME POSITIONTrue
LCA CASE EMPLOYMENT START DATE2025-08-18
END DATE2028-08-17
TOTAL WORKER POSITIONS1
NEW EMPLOYMENT1
CONTINUED EMPLOYMENT0
CHANGE PREVIOUS EMPLOYMENT0
NEW CONCURRENT EMPLOYMENT0
CHANGE EMPLOYER0
AMENDED PETITION0
LCA CASE EMPLOYER NAMELONE STAR CIRCLE OF CARE
EMPLOYER ADDRESS12423 Williams Dr
EMPLOYER ADDRESS2SUITE 107
EMPLOYER CITYGEORGETOWN
EMPLOYER STATETX
EMPLOYER POSTAL CODE78628
EMPLOYER COUNTRYUNITED STATES OF AMERICA
EMPLOYER PHONE15126860207
EMPLOYER FEIN74-3001674
NAICS CODE621498
EMPLOYER POC LAST NAMEStout
EMPLOYER POC FIRST NAMETillery
EMPLOYER POC JOB TITLEChief Administrative Officer & General Counsel
EMPLOYER POC ADDRESS12423 Williams Drive
EMPLOYER POC ADDRESS2Suite 107
EMPLOYER POC CITYGeorgetown
EMPLOYER POC STATETX
EMPLOYER POC POSTAL CODE78628
EMPLOYER POC COUNTRYUNITED STATES OF AMERICA
EMPLOYER POC PHONE15126860628
EMPLOYER POC PHONE EXT628
EMPLOYER POC EMAILtstout@lscctx.org
AGENT REPRESENTING EMPLOYERTrue
AGENT ATTORNEY LAST NAMEPrice
AGENT ATTORNEY FIRST NAMEAnn
AGENT ATTORNEY MIDDLE NAMEAbrams
AGENT ATTORNEY ADDRESS12700 Via Fortuna
AGENT ATTORNEY ADDRESS2Suite 250
AGENT ATTORNEY CITYAustin
AGENT ATTORNEY STATETX
AGENT ATTORNEY POSTAL CODE78746
AGENT ATTORNEY COUNTRYUNITED STATES OF AMERICA
AGENT ATTORNEY PHONE15127328904
AGENT ATTORNEY EMAIL ADDRESSann@boulettegolden.com
LAWFIRM NAME BUSINESS NAMEBoulette Golden & Marin L.L.P.
STATE OF HIGHEST COURTTX
NAME OF HIGHEST STATE COURTSupreme Court of Texas
WORKSITE WORKERS1
SECONDARY ENTITYFalse
WORKSITE ADDRESS11221 West Ben White Blvd.
WORKSITE ADDRESS2Building B, Suites 100, 200, and 300
LCA CASE WORKLOC1 CITYAustin
WORKSITE COUNTYTRAVIS
LCA CASE WORKLOC1 STATETX
WORKSITE POSTAL CODE78704
LCA CASE WAGE RATE FROM240000
LCA CASE WAGE RATE UNITYear
PREVAILING WAGE239200
PW UNIT OF PAYYear
PW OES YEAR7/1/2024 - 6/30/2025
TOTAL WORKSITE LOCATIONS1
AGREE TO LC STATEMENTTrue
H 1B DEPENDENTFalse
WILLFUL VIOLATORFalse
PUBLIC DISCLOSUREDisclose Business
PREPARER LAST NAMEPrice
PREPARER FIRST NAMEAnn
PREPARER MIDDLE INITIALA
PREPARER BUSINESS NAMEBoulette Golden & Marin L.L.P.
PREPARER EMAILann@boulettegolden.com