Paid

Invoice

From:

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

Invoice Number INV-0007
Invoice Date March 22, 2018
Total Due $0.00
To:
Teri Vollmer

401 N. Carroll Ave #207
Southlake, TX 76092

Hrs/Qty Service Rate/PriceAdjustSub Total
1 CPT97803

Medical Nutrition Therapy - Follow-Up Assessment - 45 minutes

$110.000.00%$110.00
Sub Total $110.00
Tax $0.00
Paid -$110.00
Total Due $0.00