Paid

Invoice

From:

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

Invoice Number INV-0100
Invoice Date August 1, 2019
Total Due $0.00
To:
Kerin Beauchamp

1857 Broken Bend Dr.
Westlake, TX 76262

Hrs/Qty Service Rate/PriceAdjustSub Total
1 CPT97803

Medical Nutrition Therapy - Follow-Up Assessment

$135.000.00%$135.00
1 Gut Feelings

Book

$16.000.00%$16.00
Sub Total $151.00
Tax $0.00
Paid -$151.00
Total Due $0.00