| LCA CASE NUMBER | I-200-21026-033136 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-01-26 |
| DECISION DATE | 2021-02-02 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Family Physician |
| SOC CODE | 29-1062.00 |
| SOC TITLE | Family and General Practitioners |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-07-16 |
| END DATE | 2021-08-06 |
| 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 | LONE STAR CIRCLE OF CARE |
| TRADE NAME DBA | Lone Star Circle of Care at Bastrop |
| EMPLOYER ADDRESS1 | 205 EAST UNIVERSITY AVE. |
| EMPLOYER ADDRESS2 | SUITE 200 |
| EMPLOYER CITY | GEORGETOWN |
| EMPLOYER STATE | TX |
| EMPLOYER POSTAL CODE | 78626 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 15126860628 |
| NAICS CODE | 621498 |
| EMPLOYER POC LAST NAME | Stout |
| EMPLOYER POC FIRST NAME | Tillery |
| EMPLOYER POC JOB TITLE | Chief Administrative Officer and General Counsel |
| EMPLOYER POC ADDRESS 1 | 205 E. University Avenue |
| EMPLOYER POC ADDRESS 2 | Suite 200 |
| EMPLOYER POC CITY | Georgetown |
| EMPLOYER POC STATE | TX |
| EMPLOYER POC POSTAL CODE | 78626 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 15126860628 |
| EMPLOYER POC EMAIL | tstout@lscctx.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Bartelli |
| AGENT ATTORNEY FIRST NAME | Carolyn |
| AGENT ATTORNEY MIDDLE NAME | Gutierrez |
| AGENT ATTORNEY ADDRESS1 | 2801 VIA FORTUNA |
| AGENT ATTORNEY ADDRESS2 | SUITE 530 |
| AGENT ATTORNEY CITY | AUSTIN |
| AGENT ATTORNEY STATE | TX |
| AGENT ATTORNEY POSTAL CODE | 78746 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 15127328900 |
| AGENT ATTORNEY EMAIL ADDRESS | carolyn@boulettegolden.com |
| LAWFIRM NAME BUSINESS NAME | Boulette Golden & Marin L.L.P. |
| STATE OF HIGHEST COURT | TX |
| NAME OF HIGHEST STATE COURT | Supreme Court of Texas |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 650 Old Austin Highway |
| LCA CASE WORKLOC1 CITY | Bastrop |
| WORKSITE COUNTY | BASTROP |
| LCA CASE WORKLOC1 STATE | TX |
| WORKSITE POSTAL CODE | 78602 |
| LCA CASE WAGE RATE FROM | 189652.74 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 110510 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
