Paid

Invoice

From:

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

Invoice Number INV-0032
Invoice Date July 2, 2018
Total Due $0.00
To:
Richard Page

3920 Gladney Ln
Keller, TX 76244

Hrs/Qty Service Rate/PriceAdjustSub Total
1 CPT97803

Medical Nutrition Therapy - Follow-Up Assessment

$135.000.00%$135.00
1 LRLABLR

Logic Reference Laboratory Blood Work - Ha1c, DHEA, Esradiol, Pregnenolone, F.Testosterone, Vit D, Homocysteine

$374.000.00%$374.00
Sub Total $509.00
Tax $0.00
Paid -$509.00
Total Due $0.00