I've reinstalled both games three times now with a mod or two removed to "trim the fat" and I still can't shake this annoying issue that plagues both FO games if I recall.
Load Order as follows
FalloutNV.esm
DeadMoney.esm
HonestHearts.esm
OldWorldBlues.esm
LonesomeRoad.esm
GunRunnersArsenal.esm
CaravanPack.esm
ClassicPack.esm
MercenaryPack.esm
TribalPack.esm
Fallout3.esm
Anchorage.esm
ThePitt.esm
BrokenSteel.esm
PointLookout.esm
Zeta.esm
TaleOfTwoWastelands.esm
Caliber.esm
Project Nevada - Core.esm
Project Nevada - Equipment.esm
Project Nevada - Rebalance.esp
Project Nevada - Cyberware.esp
SomeguySeries.esm
NVWillow.esp
The New Bison Steve Hotel.esm
Niner.esm
TTW_StashPackOptions.esp
TTW_NoKarmaDCFollowers.esp
Readius_NV.esp
The Mod Configuration Menu.esp
The Weapon Mod Menu.esp
UHNV.esp
UHNV-Dead Money.esp
UHNV-Honest Hearts.esp
UHNV-OWB.esp
UHNV-Lonesome Road.esp
Project Nevada - Dead Money.esp
Project Nevada - Honest Hearts.esp
Project Nevada - Old World Blues.esp
Project Nevada - Lonesome Road.esp
Project Nevada - Gun Runners' Arsenal.esp
CONELRAD 640-1240.esp
Radio Free Wasteland.esp
AK_AR15WP.esp
DragonskinTacticalOutfit.esp
DragonskinNCRPersonnelWearingOutfits.esp
DragonskinBonusPack.esp
DTO-ProjectNevada.esp
DTOBP-ProjectNevada.esp
AllCompanionsEssential 2.0b.esp
UnlimitedCompanions.esp
dD - Enhanced Blood Main NV.esp
EVE FNV - ALL DLC.esp
Project Nevada - EVE All DLC.esp
TTW_StartupMenu.esp
TTW_SpeechChecks.esp
TTW_OutcastTrading.esp
TTW_Reputation.esp
Project Nevada - TTW.esp
delilah.esp
PCB Hotkey.esp
ARESproject.esp
JoanaCompanion.esp
MoreNiner.esp
Radio Sunshine NV.esp
Russell.esp
mergedpatch.esp
Total active plugins: 67
Total plugins: 67