Paid

Invoice

From:

6144 Pleasant Dream St.
North Richland Hills, TX 76180
817.797.7475
Sharon R. Price, Ph.D., CN

Invoice Number INV-0080
Invoice Date February 15, 2019
Total Due $0.00
To:
Alysha Bond

6324 Mystic Falls Dr.
Fort Worth, TX 76179

Hrs/Qty Service Rate/PriceAdjustSub Total
1 CPT97803

Medical Nutrition Therapy - Follow-Up Assessment

$135.000.00%$135.00
Sub Total $135.00
Tax $0.00
Paid -$135.00
Total Due $0.00