| CASE NUMBER | I-200-24052-736468 |
| CASE STATUS | Certified |
| RECEIVED DATE | 2/21/2024 |
| DECISION DATE | 2/28/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Internal Medicine Physician |
| SOC CODE | 29-1216.00 |
| SOC TITLE | General Internal Medicine Physicians |
| FULL TIME POSITION | Y |
| BEGIN DATE | 3/4/2024 |
| END DATE | 3/3/2027 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 1 |
| EMPLOYER NAME | Bexar County Hospital District |
| TRADE NAME DBA | University Health |
| EMPLOYER ADDRESS1 | 4502 Medical Drive |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | San Antonio |
| EMPLOYER STATE | TX |
| EMPLOYER POSTAL CODE | 78229 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 12103585909 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Hensz |
| EMPLOYER POC FIRST NAME | Amy |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Executive Director, Practice Development |
| EMPLOYER POC ADDRESS1 | 903 West Martin St |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | San Antonio |
| EMPLOYER POC STATE | TX |
| EMPLOYER POC POSTAL CODE | 78207 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 12103585909 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | Amy.Hensz@uhtx.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Crawford |
| AGENT ATTORNEY FIRST NAME | Kristi |
| AGENT ATTORNEY MIDDLE NAME | L |
| AGENT ATTORNEY ADDRESS1 | PO Box 158 |
| AGENT ATTORNEY ADDRESS2 | |
| AGENT ATTORNEY CITY | Northville |
| AGENT ATTORNEY STATE | MI |
| AGENT ATTORNEY POSTAL CODE | 48167 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 12482702899 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | kristi@vitalvisas.org |
| LAWFIRM NAME BUSINESS NAME | Kristi L Crawford, Atty at Law |
| STATE OF HIGHEST COURT | TN |
| NAME OF HIGHEST STATE COURT | Tennessee Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 2121 SW 36th Street |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | San Antonio |
| WORKSITE COUNTY | BEXAR |
| WORKSITE STATE | TX |
| WORKSITE POSTAL CODE | 78237 |
| WAGE RATE OF PAY FROM | 235019 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $83,075.00 |
| PW UNIT OF PAY | Year |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2023 - 6/30/2024 |
| PW OTHER SOURCE | |
| PW OTHER YEAR | |
| PW SURVEY PUBLISHER | |
| PW SURVEY NAME | |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | Yes |
| H 1B DEPENDENT | No |
| WILLFUL VIOLATOR | No |
| SUPPORT H1B | N/A |
| STATUTORY BASIS | |
| APPENDIX A ATTACHED | N/A |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | |
| PREPARER FIRST NAME | |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | |
| PREPARER EMAIL | |
| BEGIN DATE CONVERTED | 2024-04-03 |
