Paid

Invoice

From:

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

Invoice Number INV-0069
Invoice Date December 5, 2018
Total Due $0.00
To:
Carrie Barton

4605 Tanque Dr.
Ft. Worth, TX 76137

Hrs/Qty Service Rate/PriceAdjustSub Total
1 CPT97803

Medical Nutrition Therapy - Follow-Up Assessment - 45 minutes

$100.000.00%$100.00
Sub Total $100.00
Tax $0.00
Paid -$100.00
Total Due $0.00