Paid

Invoice

From:

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

Invoice Number INV-0044
Invoice Date August 14, 2018
Total Due $0.00
To:
Julie Bessire

2701 N. Carroll Ave.
Southlake, TX 76092

Hrs/Qty Service Rate/PriceAdjustSub Total
1 CPT97803

Medical Nutrition Therapy - Follow-Up Assessment

$135.000.00%$135.00
1 SANESSH:HPAPRSH

HPA Profile - Urinary NT Salivary Cortisol

$305.000.00%$305.00
Sub Total $440.00
Tax $0.00
Paid -$440.00
Total Due $0.00