Paid

Invoice

From:

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

Invoice Number INV-0087
Invoice Date April 18, 2019
Total Due $0.00
To:
Shannon Hall

110 Creekwood Ct.
Southlake, TX 76092

Hrs/Qty Service Rate/PriceAdjustSub Total
1 CPT97803

Medical Nutrition Therapy - Follow-Up Assessment

$135.000.00%$135.00
1 Protease Enzymes

120 capsules

$64.500.00%$64.50
Sub Total $199.50
Tax $0.00
Paid -$199.50
Total Due $0.00