On April 8, 2020 a case was filed
in the jurisdiction of Tarrant County.
Preview
352-316364-20
AFFIDAVIT FOR BILLING RECORDS AND OF
REASONABLENESS AND NECESSITY OF SERVICES
RECORDS PERTAINING TO: David Padilla
RECORDS REQUESTED: Billing and payment records for dates of services April 26, 2018 to present.
MEDICAL PROVIDER: JTP DIAGNOSTICS
BEFORE, ME, the undersigned authority, personally appeared
who, being by me duly sworn, deposed and said: AFFIANT (Custodian of Records)
I, the undersigned, am over 18 years of age, of sound mind, capable of making this affidavit, and
personally acquainted with the facts herein stated:
I am the CUSTODIAN OF RECORDS for JTP DIAGNOSTICS . Attached to this affidavit
are records that provide an itemized statement of the services and the charges for such services that _JTP
DIAGNOSTICS _ provided to _David Padilla. The attached records are a part of th…
Document Filed Date
June 9, 2020
Case Filing Date
April 8, 2020
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